Active NPI
Benjamin Leber, LPC
- Professional Counselor
- Maumee, OH
National Provider Identifier
1043661689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C.2203958
- Practice address
- 1627 Henthorne Dr Ste C
Maumee, OH 43537-1370 - Phone
- (419) 491-0420
- NPI assigned
- Jun 24, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | C.2203958 | OH | Primary |
Addresses
Primary practice location
1627 Henthorne Dr Ste C
Maumee, OH 43537-1370
Mailing address
219 Evergreen LN Apt 47
Bowling Green, OH 43402-3427
Phone (419) 681-1219
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
| License | State | Type | Specialty |
|---|---|---|---|
| C.2203958 | OH | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672358400000",
"number": "1043661689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "219 EVERGREEN LN APT 47",
"city": "BOWLING GREEN",
"state": "OH",
"postal_code": "434023427",
"telephone_number": "419-681-1219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1627 HENTHORNE DR STE C",
"city": "MAUMEE",
"state": "OH",
"postal_code": "435371370",
"telephone_number": "419-491-0420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEBER",
"first_name": "BENJAMIN",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-06-24",
"last_updated": "2022-12-30",
"certification_date": "2022-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "C.2203958",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Maumee, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.