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LEAH ANN MCKINNEY LCPC-8805
NPI 1962913301
Counselor - Mental Health in Madison, WI

Active since October 12, 2017PECOS Enrolled
1015 GAMMON LN, MADISON, WI 53719(208) 736-7090(208) 736-7089 Get Directions Write a Review

NPPES record last updated: July 31, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jul 31, 2024, May 19, 2023, Oct 12, 2017 (3 updates tracked since 2017).

About Leah Ann Mckinney Lcpc-8805 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LEAH ANN MCKINNEY LCPC-8805 (NPI 1962913301) is an individual mental health provider in Madison, Wisconsin, licensed in Wisconsin (11095-125) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1962913301
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameLEAH ANN MCKINNEYCredential: LCPC-8805
Location Address1015 GAMMON LNMadison, WI 53719-2210
Mailing Address1773 Rustic DrSun Prairie, WI 53590-3078 · (801) 564-4393
Phone(208) 736-7090
Fax(208) 736-7089
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateOctober 12, 2017
Last NPPES UpdateJuly 31, 20243 updates tracked since enumeration
NPPES CertifiedJuly 31, 2024
✔ NPI 1962913301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses✔ Licensed in WI · 11095-125✔ Licensed in ID · LCPC-8005
1015 GAMMON LN, Madison, WI 53719
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Leah Ann Mckinney Lcpc-8805 is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6608311162
PECOS Enrollment IDI20260413000920
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Leah Mckinney reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Meriter Hospital, Inc.
5.3 mi
General Practice
202 S PARK ST
Madison, WI 53715
  • Reassigned Medicare billing, Wisconsin enrollment
  • 164 clinicians in this Medicare group
NPI 1548635345 (608) 417-6000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SAMANTHA M ROGERS LCSW
Social Worker (Clinical)
1015 GAMMON LN
MADISON, WI 53719
Dane County (608) 417-8158
LORI BRATTSET
Social Worker (Clinical)
1015 GAMMON LN
MADISON, WI 53719
Dane County (608) 417-8144
RACHEL ELLIS LCSW, SAC-IT
Social Worker
1015 GAMMON LN
MADISON, WI 53719
Dane County (608) 417-8162
KARL WILLIAM LOCHER LCSW
Social Worker (Clinical)
1015 GAMMON LN
MADISON, WI 53719
Dane County (608) 417-8144
SHAYLA EQUILA MA, LPC
Counselor (Mental Health)
1015 GAMMON LN
MADISON, WI 53719
Dane County (608) 417-8144
PHILIP CHARLES CARAVELLO
Counselor
1015 GAMMON LN
MADISON, WI 53719
Dane County (608) 417-8144
SAMANTHA CUNNINGHAM LPC
Counselor (Professional)
1015 GAMMON LN
MADISON, WI 53719
Dane County (608) 417-8144
MRS. KARLA BULLOCK LCSW
Social Worker (Clinical)
1015 GAMMON LN
MADISON, WI 53719
Dane County (608) 417-8132

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Leah Mckinney's NPI number?

The NPI number for Leah Mckinney is 1962913301. It was assigned to this individual provider in the NPPES registry on October 12, 2017.

Where is Leah Mckinney located?

Leah Mckinney practices at 1015 Gammon Ln, Madison, WI 53719. The listed phone number is (208) 736-7090.

What is Leah Mckinney's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Leah Mckinney enrolled in Medicare?

Yes. Leah Mckinney is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Leah Mckinney's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Leah Mckinney reassigns Medicare benefits to Meriter Hospital, Inc. (Madison, WI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Leah Mckinney's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Leah Mckinney was last updated on July 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.