Organization Active NPI

Leone Star Home

  • Mental Health Counselor
  • Raleigh, NC
National Provider Identifier
1124161047
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MHL 092 638 Issued in NC
Legal business name
LEONE STAR HOME
Practice address
8600 Neuse Hunter Dr
Raleigh, NC 27616-7735
Phone
(919) 713-0323
NPI assigned
Feb 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Lamin Dabor
Title
Administrator
Phone
(919) 713-0323

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X MHL 092 638 NC Primary

Addresses

Primary practice location

8600 Neuse Hunter Dr
Raleigh, NC 27616-7735

Mailing address

8600 Neuse Hunter Dr
Raleigh, NC 27616-7735
Phone (919) 713-0323

Other identifiers 1

IdentifierTypeStateIssuer
7805499OtherNCPROVIDER NUMBER

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124161047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8600 NEUSE HUNTER DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276167735",
            "telephone_number": "919-713-0323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8600 NEUSE HUNTER DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276167735",
            "telephone_number": "919-713-0323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEONE STAR HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DABOR",
        "authorized_official_first_name": "LAMIN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "919-713-0323",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "MHL 092 638",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER  NUMBER",
            "identifier": "7805499",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.