Deianira C Leach, LPC, LLP

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401008170 Issued in MI

Practice address

30701 Woodward Ave
Ste 200
Royal Oak, MI 48073-0987

Phone

(248) 288-9333

Fax

(248) 288-1362

NPI assigned

Nov 7, 2014

Sex

Female

Sole proprietor

Yes

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

• City of Columbus

  • State or Local Public Health Clinic/Center
  • Columbus, OH
  • NPI 1285874339

  OH

  Medicare reassignment NPD
• City of Columbus

  • Clinical Medical Laboratory
  • Columbus, OH
  • NPI 1194760439
  NPD
• City of Columbus

  • Addiction (Substance Use Disorder) Counselor
  • Columbus, OH
  • NPI 1639240229
  NPD

Specialty

Mental Health Counselor

Education

Wayne State University School of Medicine, 2014

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in OH

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.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: deianira.leach.p17@direct.columbuspublichealth.nextgenshare.com

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 7, 2017.

{
    "created_epoch": "1415318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491523200000",
    "number": "1124424874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 MILLSTONE DR",
            "address_2": "STE D407",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483282954",
            "telephone_number": "734-604-0247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30701 WOODWARD AVE",
            "address_2": "STE 200",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480730987",
            "telephone_number": "248-288-9333",
            "fax_number": "248-288-1362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEACH",
        "first_name": "DEIANIRA",
        "middle_name": "C",
        "credential": "LPC, LLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-07",
        "last_updated": "2017-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301016226",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401008170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Lawrin, DC
• Bridget Cynthia Layton, PT NCS
• Amy Katherine Lazar, COTA
• Mary E Lazar, MD
• Alfredo Lazo
• Laura Leach, CRNA
• John Leahy, M.D.
• Hal Learman, O.D.
• Mary Leddy, CRNA
• Emily Leduc

• All providers in Royal Oak, MI
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2017; 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.

Verify at the official NPI Registry.