Individual provider Active NPI

Leila Abidi

  • Mental Health Counselor
  • Brookhaven, GA
National Provider Identifier
1093449902
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC013952 Issued in GA
Practice address
3103 Clairmont Rd NE Ste B
Brookhaven, GA 30329-1043
Phone
(404) 636-1457
Fax
(404) 636-7449
NPI assigned
Jul 15, 2022
Sex
Female
Sole proprietor
No

Organizations & group practices 5

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.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DHHS PHS Naihs Chinle Comprehensive Health Care Facility 160 clinicians

Practice addresses (Care Compare)

Navajo Route 64 and 12
Tsaile, AZ 86556-0467
Phone (928) 724-3600

Hospital & facility affiliations

  • Chinle Comprehensive Health Care Facility Hospital, Chinle, AZ, CCN 030084

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20240208000560 TX Practitioner - Mental Health Counselor 5890138721 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC013952GAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
DHHS PHS Naihs Chinle Comprehensive CurrentSince Apr 14, 2025 Accepting new patients
DHHS PHS Naihs Chinle Comprehensive Health Care Facility CurrentSince Apr 14, 2025 Accepting new patients
US Health Dept of Health & Human Services CurrentSince Jan 2, 2024 Accepting new patients
U S Health Dept of Health & Human Services CurrentSince Jan 2, 2024 Accepting new patients
DHHS PHS Naihs Chinle Comprehensive Health Care Facility Current Accepting new patients

Locations

669 Agency Main St
Harlem, MT 59526
Phone (406) 353-3100

107 H St
Poplar, MT 59255
Phone (406) 738-3491

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC013952 GA Primary

Addresses

NPPES NPI Registry

Primary practice location

3103 Clairmont Rd NE Ste B
Brookhaven, GA 30329-1043

Mailing address

3103 Clairmont Rd NE Ste B
Brookhaven, GA 30329-1043
Phone (404) 636-1457

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 14, 2025.

{
    "created_epoch": "1657843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1093449902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3103 CLAIRMONT RD NE STE B",
            "city": "BROOKHAVEN",
            "state": "GA",
            "postal_code": "303291043",
            "telephone_number": "404-636-1457",
            "fax_number": "404-636-7449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3103 CLAIRMONT RD NE STE B",
            "city": "BROOKHAVEN",
            "state": "GA",
            "postal_code": "303291043",
            "telephone_number": "404-636-1457",
            "fax_number": "404-636-7449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABIDI",
        "first_name": "LEILA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-15",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC013952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookhaven, GA

Sources for this page

Verify at the official NPI Registry.