Individual provider Active NPI

Susie Leatch, LCDC

  • Addiction (Substance Use Disorder) Counselor
  • Arlington, TX
National Provider Identifier
1114897402
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
16786 Issued in TX
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

Updated by the provider on Nov 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
16786TXMDAddiction (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.

Verify at the official NPI Registry.