Individual provider Active NPI

Kristy Leone, LCPC, LCPAT, ATR-BC

  • Counselor
  • Oakland, MD
National Provider Identifier
1023514882
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LC12081 Issued in MD
Practice address
5000 Thayer Ctr Ste C
Oakland, MD 21550-1139
Phone
(443) 464-1639
NPI assigned
Apr 2, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Art Therapist 221700000X ATC299 MD
Counselor 101Y00000X LC12081 MD Primary

Addresses

Primary practice location

5000 Thayer Ctr Ste C
Oakland, MD 21550-1139

Mailing address

4132 E Joppa Rd Ste 110-921
Nottingham, MD 21236-2272
Phone (410) 205-6050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LC12081MDMDCounselor
ATC299MDMDArt Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Labyrinth Art and Wellness, LLC CurrentSince Feb 25, 2024 Accepting new patients

Locations

4132 E Joppa Rd
Ste 110921
Nottingham, MD 21236

5000 Thayer Ctr
Ste C
Oakland, MD 21550
Phone (410) 397-7100

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1522627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712620800000",
    "number": "1023514882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4132 E JOPPA RD STE 110-921",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212362272",
            "telephone_number": "410-205-6050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 THAYER CTR STE C",
            "city": "OAKLAND",
            "state": "MD",
            "postal_code": "215501139",
            "telephone_number": "443-464-1639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEONE",
        "first_name": "KRISTY",
        "credential": "LCPC, LCPAT, ATR-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-02",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": "MD",
            "license": "ATC299",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MD",
            "license": "LC12081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.