Active NPI
Michael T Leubling, MED, LPC, NCC
- Mental Health Counselor
- Fair Lawn, NJ
National Provider Identifier
1003461021
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 37PC00804000
- Practice address
- 17-07 Romaine St
Fair Lawn, NJ 07410-2150 - Phone
- (201) 796-9482
- NPI assigned
- Aug 6, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 37PC00804000 | NJ | Primary |
Addresses
Primary practice location
17-07 Romaine St
Fair Lawn, NJ 07410-2150
Mailing address
21 Juniata St
West Milford, NJ 07480-2045
Phone (973) 464-6037
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Education
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729036800000",
"number": "1003461021",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 JUNIATA ST",
"city": "WEST MILFORD",
"state": "NJ",
"postal_code": "074802045",
"telephone_number": "973-464-6037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17-07 ROMAINE ST",
"city": "FAIR LAWN",
"state": "NJ",
"postal_code": "074102150",
"telephone_number": "201-796-9482"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEUBLING",
"first_name": "MICHAEL",
"middle_name": "T",
"credential": "MED, LPC, NCC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-08-06",
"last_updated": "2024-10-16",
"certification_date": "2024-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NJ",
"license": "37PC00804000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fair Lawn, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; 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.