Active NPI
Rhonda Elise Leath
- Addiction (Substance Use Disorder) Counselor
- Barstow, CA
National Provider Identifier
1053073015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- R1338760219
- Practice address
- 1840 E Main St
Barstow, CA 92311-3235 - Phone
- (760) 255-5700
- NPI assigned
- Oct 7, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | R1338760219 | CA | Primary |
Addresses
Primary practice location
1840 E Main St
Barstow, CA 92311-3235
Mailing address
13552 Avenal St Apt 59
Hesperia, CA 92345-8121
Phone (442) 251-6073
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R1338760219 | Other | CA | CCAPP |
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 |
|---|---|---|---|
| R1338760219 | CA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633564800000",
"number": "1053073015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13552 AVENAL ST APT 59",
"city": "HESPERIA",
"state": "CA",
"postal_code": "923458121",
"telephone_number": "442-251-6073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1840 E MAIN ST",
"city": "BARSTOW",
"state": "CA",
"postal_code": "923113235",
"telephone_number": "760-255-5700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEATH",
"first_name": "RHONDA",
"middle_name": "ELISE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-10-07",
"last_updated": "2021-10-07",
"certification_date": "2021-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "R1338760219",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CCAPP",
"identifier": "R1338760219",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Barstow, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.