Active NPI
Susie Leatch, LCDC
- Addiction (Substance Use Disorder) Counselor
- Arlington, TX
National Provider Identifier
1114897402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 16786
- Practice address
- 2623 Matlock Rd Ste 106
Arlington, TX 76015-2534 - Phone
- (866) 291-2393
- Fax
- (630) 870-1284
- NPI assigned
- Nov 11, 2025
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 16786 | TX | Primary |
Addresses
Primary practice location
2623 Matlock Rd Ste 106
Arlington, TX 76015-2534
Mailing address
2623 Matlock Rd Ste 106
Arlington, TX 76015-2534
Phone (866) 291-2393
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 |
|---|---|---|---|
| 16786 | TX | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1762819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762819200000",
"number": "1114897402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2623 MATLOCK RD STE 106",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760152534",
"telephone_number": "866-291-2393",
"fax_number": "630-870-1284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2623 MATLOCK RD STE 106",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760152534",
"telephone_number": "866-291-2393",
"fax_number": "630-870-1284"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEATCH",
"first_name": "SUSIE",
"credential": "LCDC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-11-11",
"last_updated": "2025-11-11",
"certification_date": "2025-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "TX",
"license": "16786",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arlington, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.