Organization Active NPI

Leading Life Services, LLC.

  • Community/Behavioral Health Agency
  • Springfield, VA
National Provider Identifier
1003501461
Registry record updated Dec 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
LEADING LIFE SERVICES, LLC.
Practice address
6564 Loisdale CT Ste 600D
Springfield, VA 22150-1838
Phone
(202) 701-6431
NPI assigned
Apr 10, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mercedez Johnson
Title
Ceo
Phone
(202) 701-6431

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

6564 Loisdale CT Ste 600D
Springfield, VA 22150-1838

Mailing address

6564 Loisdale CT Ste 600D
Springfield, VA 22150-1838
Phone (703) 206-6931

National Provider Directory

National Provider Directory

Locations

6564 Loisdale Ct
Ste 600D
Springfield, VA 22150
Phone (202) 701-6431

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1681084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733443200000",
    "number": "1003501461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6564 LOISDALE CT STE 600D",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221501838",
            "telephone_number": "703-206-6931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6564 LOISDALE CT STE 600D",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221501838",
            "telephone_number": "202-701-6431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEADING LIFE SERVICES, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-10",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MERCEDEZ",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "202-701-6431"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.