Individual provider Active NPI

Amie Jayne Leonoff, LMFT

  • Marriage & Family Therapist
  • Wausau, WI
National Provider Identifier
1093955627
Registry record updated Jul 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
799-124 Issued in WI
Practice address
901 N. 6TH St
The Centre for Wellbeing
Wausau, WI 54403
Phone
(715) 848-5022
Fax
(888) 778-6750
NPI assigned
Feb 22, 2009
Last updated
Jul 13, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2016

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 799-124 WI Primary

Addresses

Primary practice location

901 N. 6TH St
The Centre for Wellbeing
Wausau, WI 54403

Mailing address

901 N. 6TH St
The Centre for Wellbeing
Wausau, WI 54403
Phone (715) 848-5022

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20240313002502 WI Practitioner - Marriage and Family Therapist 8729424650 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Centre for Well-Being, IncGroup PAC ID 6002083920, 26 clinicians

Practice addresses (Care Compare)

901 N 6TH St
Wausau, WI 54403-4718
Phone (715) 848-5022

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
799-124WIMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Centre for Well-Being, Inc CurrentSince Jan 1, 2024 Accepting new patients

Locations

901 N 6th St
Wausau, WI 54403
Phone (715) 848-5022

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1235260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468368000000",
    "number": "1093955627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 N. 6TH ST",
            "address_2": "THE CENTRE FOR WELLBEING",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "54403",
            "telephone_number": "715-848-5022",
            "fax_number": "888-778-6750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 N. 6TH ST",
            "address_2": "THE CENTRE FOR WELLBEING",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "54403",
            "telephone_number": "715-848-5022",
            "fax_number": "888-778-6750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEONOFF",
        "first_name": "AMIE",
        "middle_name": "JAYNE",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-22",
        "last_updated": "2016-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WI",
            "license": "799-124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wausau, WI

Sources for this page

Verify at the official NPI Registry.