NPIMap

Organization Active NPI

Judyth a. Leavitt Psychotherapist P.L.L.C.

  • Addiction (Substance Use Disorder) Counselor
  • Shermans Dale, PA
National Provider Identifier
1083008312
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
0631 Issued in NH
Legal business name
JUDYTH A. LEAVITT PSYCHOTHERAPIST P.L.L.C.
Practice address
7015 Spring Rd
Shermans Dale, PA 17090-8121
Phone
(603) 903-2122
Fax
(717) 275-0249
NPI assigned
Mar 25, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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

Authorized official

Name
Judyth A LeavittNPI 1083927198
Title
Ceo
Phone
(603) 903-2122

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
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 0631 NH Primary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 1514 NH

Addresses

Primary practice location

7015 Spring Rd
Shermans Dale, PA 17090-8121

Mailing address

7015 Spring Rd
Shermans Dale, PA 17090-8121
Phone (603) 903-2122

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160628000396 NH Part B Supplier - Clinic/Group Practice 5799076444 Receives reassigned benefits from 1 practitioner
Practice locations: Keene, NH

National Provider Directory

National Provider Directory

Locations

100 Emerald St
Ste C
Keene, NH 03431
Phone (603) 352-1993

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1427241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772496000000",
    "number": "1083008312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7015 SPRING RD",
            "city": "SHERMANS DALE",
            "state": "PA",
            "postal_code": "170908121",
            "telephone_number": "603-903-2122",
            "fax_number": "717-275-0249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7015 SPRING RD",
            "city": "SHERMANS DALE",
            "state": "PA",
            "postal_code": "170908121",
            "telephone_number": "603-903-2122",
            "fax_number": "717-275-0249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUDYTH A. LEAVITT PSYCHOTHERAPIST P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-25",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A",
        "authorized_official_last_name": "LEAVITT",
        "authorized_official_first_name": "JUDYTH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "603-903-2122"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NH",
            "license": "0631",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "1514",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shermans Dale, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.