Elisse Noelle Leon

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1692 El Camino Real
San Carlos, CA 94070-5208

Phone

(650) 817-9070

Fax

(650) 817-9074

NPI assigned

Dec 16, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Telecare Corporation

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • San Carlos, CA
  • NPI 1598833733
  NPD

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

{
    "created_epoch": "1576454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598572800000",
    "number": "1083252498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1329",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940707329",
            "telephone_number": "650-817-9070",
            "fax_number": "650-817-9074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1692 EL CAMINO REAL",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940705208",
            "telephone_number": "650-817-9070",
            "fax_number": "650-817-9074"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1377 Broadway Apt 3",
            "address_purpose": "LOCATION",
            "city": "Alameda",
            "state": "CA",
            "postal_code": "945014673",
            "country_code": "US",
            "telephone_number": "501-410-4420",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1025 Atlantic Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Alameda",
            "state": "CA",
            "postal_code": "945011188",
            "country_code": "US",
            "telephone_number": "510-268-8120",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1080 Marina Village Pkwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Alameda",
            "state": "CA",
            "postal_code": "945011078",
            "country_code": "US",
            "telephone_number": "650-817-9070",
            "fax_number": "650-817-9074",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEON",
        "first_name": "ELISSE",
        "middle_name": "NOELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-16",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Karen Lee, CPNP
• Richard Kiheun Lee
• Blanka Leeker, MA
• Pamela Leffler, MS, CCC-SLP
• Dawn Marie Leiro
• Ashley Leprine
• Donna-Marie Lera, LMFT
• Ian Alexander Leung
• Scott David Levenson, MD
• Curtis D. Leviant, D.P.M.

• Mental Health Counselor in San Carlos, CA
• Providers in San Carlos, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.