Individual provider Active NPI

Deianira C Leach, LPC, LLP

  • Professional Counselor
  • Royal Oak, MI
National Provider Identifier
1124424874
Registry record updated Apr 7, 2017
On this page

Key facts

NPPES NPI Registry
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
Last updated
Apr 7, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 6301016226 MI
Professional Counselor 101YP2500X 6401008170 MI Primary

Addresses

Primary practice location

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

Mailing address

54 Millstone Dr
Ste D407
Waterford, MI 48328-2954
Phone (734) 604-0247

Medicare participation

Medicare enrollment files
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251229003592 OH Practitioner - Mental Health Counselor 0749776748 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Wayne State University School of Medicine, 2014
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

240 Parsons Ave
RM 401
Columbus, OH 43215-5331

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6401008170MIMDProfessional Counselor
6301016226MIMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
City of Columbus Current Accepting new patients
City of Columbus CurrentSince Oct 2, 2025 Accepting new patients
City of Columbus CurrentSince Oct 2, 2025 Accepting new patients

Locations

240 Parsons Ave
Columbus, OH 43215
Phone (614) 645-6792

Interoperability endpoints

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

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "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": []
}

Other providers in Royal Oak, MI

Sources for this page

Verify at the official NPI Registry.