Letisha E Leach, FNP-BC, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

APRN.CNP.10824 Issued in OH

Practice address

12124 Roesta LN NW
Baltimore, OH 43105-9200

Phone

(614) 300-7977

Fax

(614) 591-3744

NPI assigned

May 1, 2009

Sex

Female

Sole proprietor

Yes

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.

• Southwestern Recovery Center, LLC

  • Family Medicine Physician
  • Columbus, OH
  • NPI 1295241933

  OH

  Medicare reassignment NPD
• Five Points Recovery LLC

  • Primary Care Nurse Practitioner
  • Columbus, OH
  • NPI 1538826730
  NPD Authorized official
• From Ashes We Rise LLC

  • Community/Behavioral Health Agency
  • Baltimore, OH
  • NPI 1992647804
  NPD Authorized official
• Southwestern Recovery Center, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Grove City, OH
  • NPI 1427642966
  NPD
• Freedom Recovery LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Columbus, OH
  • NPI 1134927213
  NPD (past)
• Freedom Recovery LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Columbus, OH
  • NPI 1801337423
  NPD (past)

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

• Letisha Wheeler Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 31, 2026.

{
    "created_epoch": "1241136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1063656239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12124 ROESTA LN NW",
            "city": "BALTIMORE",
            "state": "OH",
            "postal_code": "431059200",
            "telephone_number": "614-300-7977",
            "fax_number": "614-591-3744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12124 ROESTA LN NW",
            "city": "BALTIMORE",
            "state": "OH",
            "postal_code": "431059200",
            "telephone_number": "614-300-7977",
            "fax_number": "614-591-3744"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "814 Elm St Ste 313",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "NH",
            "postal_code": "031012130",
            "country_code": "US",
            "telephone_number": "603-321-0084",
            "fax_number": "603-696-3454",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2575 W Broad St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432043333",
            "country_code": "US",
            "telephone_number": "614-859-9733",
            "fax_number": "614-591-3744",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEACH",
        "first_name": "LETISHA",
        "middle_name": "E",
        "credential": "FNP-BC, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-01",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "118756-23",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.10824",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.10824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LETISHA",
            "last_name": "WHEELER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jeffrey Alan Harris, L.D.O
• Kristin Hayes
• Holli Hawk
• Dona Jagger
• Khyati Patel, DDS, LLC
• Liberty Union Thurston Schools
• Martin J Lohne, MD
• Traci Mason, OCPC
• Melissa Suzanne Massey-Smith
• Marnie McIntire

• All providers in Baltimore, OH
• Psychiatric/Mental Health Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.