Individual provider Active NPI

Leah Farley, MA, LMFTA

  • Marriage & Family Therapist
  • Durham, NC
National Provider Identifier
1093177347
Registry record updated Jan 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
10090A Issued in NC
Practice address
3710 Shannon Rd # 52703
Durham, NC 27707-6327
Phone
(984) 223-9915
NPI assigned
Mar 25, 2016
Reactivated
Feb 26, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 10090A NC Primary

Addresses

Primary practice location

3710 Shannon Rd # 52703
Durham, NC 27707-6327

Mailing address

3710 Shannon Rd # 52703
Durham, NC 27707-6327
Phone (984) 223-9915

Other names 1

  • Leah Monahan Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 10, 2025 through Jan 10, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
10090ANCMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1458864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611273600000",
    "number": "1093177347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3710 SHANNON RD # 52703",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277076327",
            "telephone_number": "984-223-9915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3710 SHANNON RD # 52703",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277076327",
            "telephone_number": "984-223-9915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARLEY",
        "first_name": "LEAH",
        "credential": "MA, LMFTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-25",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-22",
        "deactivation_date": "2019-08-12",
        "reactivation_date": "2020-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "10090A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEAH",
            "last_name": "MONAHAN",
            "credential": "MA, LMFTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.