Kenia Mercedes Leon, LMFT, LCADC
Individual provider Active NPI Marriage & Family Therapist · Juneau, AK
NPI 1043554785 · NPPES record last updated Jul 27, 2022
Key facts
- NPI
- 1043554785
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 177441 (AK)
- Practice address
- 2075 Jordan Ave
Juneau, AK 99801-8095 - Phone
- (907) 789-7610
- NPI assigned
- Nov 19, 2012
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 177441 | AK | MD | Marriage & Family Therapist |
| 120407 | CA | MD | Marriage & Family Therapist |
| 65371 | CA | MD | Marriage & Family Therapist |
| 01392 | NV | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western Youth Services | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 01392 | NV | |
| Marriage & Family Therapist | 106H00000X | 120407 | CA | |
| Marriage & Family Therapist | 106H00000X | 65371 | CA | |
| Marriage & Family Therapist | 106H00000X | 177441 | AK | Yes |
Addresses
Primary practice location
2075 Jordan Ave
Juneau, AK 99801-8095
Mailing address
2075 Jordan Ave
Juneau, AK 99801-8095
Phone (907) 789-7610
Other providers in Juneau, AK
- Danna Madeline Lehneis
- Jackqueline Ann Leight
- Tracy Leithauser
- Veronica Lekanof
- Nancy Ann Lennon
- Heather Leonardy
- Jason Lescelius
- Michael Noel Lessard
- Jordan Silas Lewis
- Joshua Lewis
All providers in Juneau, AK · Marriage & Family Therapist in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 27, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.