Active NPI
Abigail Dewitt Leone, LPC
- Professional Counselor
- Abbeville, GA
National Provider Identifier
1093887556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC008167
- Practice address
- 246 New Covenant Rd.
Suite 5
Abbeville, GA 31001 - Phone
- (843) 425-3454
- Fax
- (843) 300-1063
- NPI assigned
- Nov 13, 2006
- Last updated
- Jun 17, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC008167 | GA | Primary |
| Professional Counselor | 101YP2500X | 4772 | SC | |
| Specialist | 174400000X | 4772 | SC |
Addresses
Primary practice location
246 New Covenant Rd.
Suite 5
Abbeville, GA 31001
Mailing address
246 New Covenant Rd
Abbeville, GA 31001
Phone (843) 425-3454
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 17 | Other | SC | OTHER SERVICES |
| 003155023A | Medicaid | GA | |
| PC1065 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC008167 | GA | MD | Professional Counselor |
| 4772 | SC | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466121600000",
"number": "1093887556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "246 NEW COVENANT RD",
"city": "ABBEVILLE",
"state": "GA",
"postal_code": "31001",
"telephone_number": "843-425-3454",
"fax_number": "843-300-1063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "246 NEW COVENANT RD.",
"address_2": "SUITE 5",
"city": "ABBEVILLE",
"state": "GA",
"postal_code": "31001",
"telephone_number": "843-425-3454",
"fax_number": "843-300-1063"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEONE",
"first_name": "ABIGAIL",
"middle_name": "DEWITT",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-13",
"last_updated": "2016-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC008167",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "SC",
"license": "4772",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "SC",
"license": "4772",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER SERVICES",
"identifier": "17",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003155023A",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PC1065",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Abbeville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.