Active NPI
Brian Jason Leskovac, MA
- Professional Counselor
- Hermitage, PA
National Provider Identifier
1003345596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC012145
- Practice address
- 689 N Hermitage Rd Ste 4
Hermitage, PA 16148-3237 - Phone
- (724) 983-1940
- NPI assigned
- Jun 8, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC012145 | PA | Primary |
| Mental Health Counselor | 101YM0800X |
Addresses
Primary practice location
689 N Hermitage Rd Ste 4
Hermitage, PA 16148-3237
Mailing address
689 N Hermitage Rd Ste 4
Hermitage, PA 16148-3237
Phone (724) 983-1940
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240912003635 | PA | Practitioner - Mental Health Counselor | 3971043225 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC012145 | PA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Davis Counseling Services | Current | Accepting new patients | |
| Paoletta Counseling Services, Inc | Mental Health | Past | Accepting new patients |
| Paoletta Counseling Services, Inc | Mental Health | Past | Accepting new patients |
| Lymphedema Place, LLC | Past | Accepting new patients |
Locations
689 N Hermitage Rd
Ste 4
Hermitage, PA 16148
Phone (724) 931-5555
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychologist
- Hermitage, PA
- NPI 1689670515
-
- Durable Medical Equipment & Medical Supplies
- Hermitage, PA
- NPI 1821322009
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703808000000",
"number": "1003345596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "689 N HERMITAGE RD STE 4",
"city": "HERMITAGE",
"state": "PA",
"postal_code": "161483237",
"telephone_number": "724-983-1940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "689 N HERMITAGE RD STE 4",
"city": "HERMITAGE",
"state": "PA",
"postal_code": "161483237",
"telephone_number": "724-983-1940"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LESKOVAC",
"first_name": "BRIAN",
"middle_name": "JASON",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-08",
"last_updated": "2023-12-29",
"certification_date": "2023-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC012145",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hermitage, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.