Individual provider Active NPI

Judy C Leyerzapf, LMHCA

  • Mental Health Counselor
  • Spokane Valley, WA
National Provider Identifier
1033597133
Registry record updated May 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MC60405953 Issued in WA
Practice address
11802 E Mansfield Ave Ste 1
Spokane Valley, WA 99206-4788
Phone
(509) 473-9157
Fax
(509) 343-1622
NPI assigned
May 11, 2015
Last updated
May 11, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MC60405953 WA Primary

Addresses

Primary practice location

11802 E Mansfield Ave Ste 1
Spokane Valley, WA 99206-4788

Mailing address

11802 E Mansfield Ave Ste 1
Spokane Valley, WA 99206-4788
Phone (509) 473-9157

Other names 1

  • Judith C Leyerzapf Other name

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
MC60405953WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Briar Rose Center, the Home of Hope PastSince Jan 20, 2015 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1431302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431302400000",
    "number": "1033597133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11802 E MANSFIELD AVE STE 1",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992064788",
            "telephone_number": "509-473-9157",
            "fax_number": "509-343-1622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11802 E MANSFIELD AVE STE 1",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992064788",
            "telephone_number": "509-473-9157",
            "fax_number": "509-343-1622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEYERZAPF",
        "first_name": "JUDY",
        "middle_name": "C",
        "credential": "LMHCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-11",
        "last_updated": "2015-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC60405953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUDITH",
            "last_name": "LEYERZAPF",
            "middle_name": "C",
            "credential": "LMHCA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Spokane Valley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2015; 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.