Individual provider Active NPI

Leisha Thompson, LPC, LCADC, CJC

  • Professional Counselor
  • Brick, NJ
National Provider Identifier
1063576676
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC00306300 Issued in NJ
Practice address
445 Brick Blvd Ste 304
Brick, NJ 08723-6080
Phone
(732) 814-3399
Fax
(732) 785-9500
NPI assigned
Dec 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 37PC00306300 NJ Primary

Addresses

Primary practice location

445 Brick Blvd Ste 304
Brick, NJ 08723-6080

Mailing address

294 Spruce Dr
Brick, NJ 08723-5946
Phone (732) 477-7849

Other identifiers 1

IdentifierTypeStateIssuer
0029807MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240626002682 NJ Practitioner - Mental Health Counselor 9739530791 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Best Practices BhomGroup PAC ID 3072876994, 21 clinicians

Practice addresses (Care Compare)

81 Crooked Stick Rd
Jackson, NJ 08527-4032
Phone (609) 916-6402

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Best Practices Bhom CurrentSince May 6, 2024 Accepting new patients

Locations

445 Brick Blvd
Ste 304
Brick, NJ 08723
Phone (732) 701-7031

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1063576676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "294 SPRUCE DR",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087235946",
            "telephone_number": "732-477-7849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 BRICK BLVD STE 304",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087236080",
            "telephone_number": "732-814-3399",
            "fax_number": "732-785-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "LEISHA",
        "credential": "LPC, LCADC, CJC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-20",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00306300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0029807",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brick, NJ

Sources for this page

Verify at the official NPI Registry.