Organization Active NPI

Leanonme Group LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Cedar Hill, TX
National Provider Identifier
1043776834
Registry record updated Feb 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
LEANONME GROUP LLC
Practice address
318 W Belt Line Rd Ste 304
Cedar Hill, TX 75104-1103
Phone
(972) 972-4767
Fax
(972) 972-3747
NPI assigned
Feb 16, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2023

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

Authorized official

Name
Abara DibakiNPI 1962199174
Title
Practice Manager
Phone
(972) 972-4767

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

318 W Belt Line Rd Ste 304
Cedar Hill, TX 75104-1103

Mailing address

318 W Belt Line Rd Ste 304
Cedar Hill, TX 75104-1103
Phone (972) 972-4767

Other names 1

  • Leanonme Psychiatry Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190416001910 TX Part B Supplier - Clinic/Group Practice 9931440187 Receives reassigned benefits from 3 practitioners
Practice locations: Cedar Hill, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2168131Leanonme Psychiatry318 W Belt Line Rd Suite 304, Cedar Hill, TX 75104Certificate of waiverJun 20, 2027

National Provider Directory

National Provider Directory

Locations

318 W Belt Line Rd
Ste 304
Cedar Hill, TX 75104
Phone (972) 972-4767

6017 Reef Point Ln
Ste 135
Fort Worth, TX 76135
Phone (682) 706-3019

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1550275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675468800000",
    "number": "1043776834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 W BELT LINE RD STE 304",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751041103",
            "telephone_number": "972-972-4767",
            "fax_number": "972-972-4737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 W BELT LINE RD STE 304",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751041103",
            "telephone_number": "972-972-4767",
            "fax_number": "972-972-3747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEANONME GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-16",
        "last_updated": "2023-02-04",
        "certification_date": "2023-02-04",
        "status": "A",
        "authorized_official_last_name": "DIBAKI",
        "authorized_official_first_name": "ABARA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "972-972-4767"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Leanonme Psychiatry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Leanonme Psychiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cedar Hill, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.