Lori L Leipheimer, CRNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

04876 Issued in OH

Practice address

8261 Market St
Boardman, OH 44512-6254

Phone

(330) 286-0050

NPI assigned

Nov 25, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Travco Behavioral Health, Inc.Group PAC ID 3476623026, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Travco Behavioral Health, Inc.

  • Mental Health Counselor
  • Boardman, OH
  • NPI 1124086616
  Medicare reassignment Care Compare group
• Primary Health Network

  • Federally Qualified Health Center (FQHC)
  • Farrell, PA
  • NPI 1184821118
  NPD (past)

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

{
    "created_epoch": "1132876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704153600000",
    "number": "1013990845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8261 MARKET ST",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445126254",
            "telephone_number": "330-286-0050",
            "fax_number": "330-759-3851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8261 MARKET ST",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445126254",
            "telephone_number": "330-286-0050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4694 Belmont Ave",
            "address_purpose": "LOCATION",
            "city": "Youngstown",
            "state": "OH",
            "postal_code": "44505",
            "country_code": "US",
            "telephone_number": "330-480-7655",
            "fax_number": "330-759-3851",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "325 Chestnut St Ste 800",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191062608",
            "country_code": "US",
            "telephone_number": "800-465-3203",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "602 Roemer Blvd",
            "address_purpose": "LOCATION",
            "city": "Farrell",
            "state": "PA",
            "postal_code": "16121",
            "country_code": "US",
            "telephone_number": "724-981-2246",
            "fax_number": "724-981-0553",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEIPHEIMER",
        "first_name": "LORI",
        "middle_name": "L",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-25",
        "last_updated": "2024-01-02",
        "certification_date": "2023-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.04876",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP009089",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP009089",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "04876",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "024283",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0057630",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102599450",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hannah Nicole Lasko
• Jennifer Anna Lassonde, MOTR/L
• Anthony Michael Lattanzio, MD
• Robin Michele Leasure, RN
• Lee Surgery Center LLC
• Chelsea Marie Lengyel, DPT
• Theodore Lenton, PT
• Stephanie Yvonne Leonard
• James G Leone, D.C.
• Michael H Leone, DDS

• Psychiatric/Mental Health Nurse Practitioner in Boardman, OH
• Providers in Boardman, OH by specialty
• Psychiatric/Mental Health Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.