Active NPI
Amie Jayne Leonoff, LMFT
- Marriage & Family Therapist
- Wausau, WI
National Provider Identifier
1093955627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 799-124
- 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, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 799-124 | WI | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Centre for Well-Being, Inc | Current | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Wausau, WI
- NPI 1144426495
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.