Active NPI
Leah Hanson, LPC
- Mental Health Counselor
- De Queen, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- P1503013
- Practice address
- 304 W Collin Raye Dr Ste 103a
De Queen, AR 71832-2000 - Phone
- (870) 330-4460
- Fax
- (870) 330-4460
- NPI assigned
- May 19, 2010
- Last updated
- Apr 25, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 10-10AE-PL | AR | |
| Mental Health Counselor | 101YM0800X | A1107064 | AR | |
| Mental Health Counselor | 101YM0800X | P1503013 | AR | Primary |
| Case Manager/Care Coordinator | 171M00000X | NU |
Addresses
Primary practice location
304 W Collin Raye Dr Ste 103a
De Queen, AR 71832-2000
Mailing address
1015 E 35TH St
Texarkana, AR 71854-2745
Phone (870) 330-4460
Other practice location 1
1015 E 35th St
Texarkana, AR 71854-2745
Phone (870) 330-4460
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 116399726 | Medicaid | AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
304 W Collin Raye Dr
Suite 103a
De Queen, AR 71832-2000
Phone (870) 200-9294
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10-10AE-PL | AR | MD | Counselor |
| A1107064 | AR | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chenal Family Therapy, PLC | Mental Health | Current | Accepting new patients |
| Transitions Counseling Clinic PLC | Counselor | Current | Accepting new patients |
Locations
304 W Collin Raye Dr
Ste 103A
De Queen, AR 71832
Phone (870) 200-9294
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Professional Counselor
- De Queen, AR
- NPI 1902501281
-
- Mental Health Counselor
- Little Rock, AR
- NPI 1356604219
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682380800000",
"number": "1023337730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1015 E 35TH ST",
"city": "TEXARKANA",
"state": "AR",
"postal_code": "718542745",
"telephone_number": "870-330-4460",
"fax_number": "870-330-4460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "304 W COLLIN RAYE DR STE 103A",
"city": "DE QUEEN",
"state": "AR",
"postal_code": "718322000",
"telephone_number": "870-330-4460",
"fax_number": "870-330-4460"
}
],
"practiceLocations": [
{
"address_1": "1015 E 35th St",
"address_purpose": "LOCATION",
"city": "Texarkana",
"state": "AR",
"postal_code": "718542745",
"country_code": "US",
"telephone_number": "870-330-4460",
"fax_number": "870-330-4460",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HANSON",
"first_name": "LEAH",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-05-19",
"last_updated": "2023-04-25",
"certification_date": "2023-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "AR",
"license": "10-10AE-PL",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AR",
"license": "A1107064",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AR",
"license": "P1503013",
"primary": true
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "116399726",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in De Queen, AR
- Lindsey Renee Gillihan, APRN, FNP-C
- Suzanne Greene, PT
- Emily Arin Haga, APRN
- Lyndsey Noel Hall, PT, DPT
- Hannah Hanney, PT, DPT
- Meaghan Elana Harder, APRN
- Harris Drug and Gifts LLC (Harris Drug)
- Harris Drug Store Corporation (Harris Drug Store)
- Virgil L Hayden, MD
- Healthcare Express, LLP (HealthCARE Express)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.
- 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.