Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Leatanya Koppa, LPC

Individual provider Professional Counselor · NPI 1013410083

Leatanya Koppa, LPC is a Mental Health Counselor in Wichita, Kansas. Qualified in 2007, 19 years ago. Accepts Medicare assignment. Licensed in Kansas.

Years since qualifying
19
Licensed in
KS
In the registry since
2018
Specialties on file
2
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

6606 W Central Ave
Wichita, KS 67212-3315
Phone: (316) 221-2661
Fax: (316) 636-1190
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 3178 (KS)
Professional Counselor Taxonomy 101YP2500X · Licence 03287 (KS)

Record details

NPI number1013410083
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorNo
NPI enumeratedMarch 15, 2018
Last updated in NPPESMarch 2, 2023
Certification dateMarch 2, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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