Leona Lin Bleich

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

610 Ridley Ave
Lagrange, GA 30240-2236

Phone

(706) 884-5050

Fax

(706) 884-5056

NPI assigned

May 19, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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.

• Counseling Services of Lagrange, Inc.

  • Clinical Psychologist
  • Lagrange, GA
  • NPI 1790197804
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

{
    "created_epoch": "1589846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589846400000",
    "number": "1154944601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 RIDLEY AVE",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302402236",
            "telephone_number": "706-884-5050",
            "fax_number": "706-884-5056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 RIDLEY AVE",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302402236",
            "telephone_number": "706-884-5050",
            "fax_number": "706-884-5056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLEICH",
        "first_name": "LEONA",
        "middle_name": "LIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-19",
        "last_updated": "2020-05-19",
        "certification_date": "2020-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Rosalie Bishop
• Brandon Blakely Bisso, NP
• Blackbird Endeavors, LLC
• Joya Deneen Bland, MSN, APRN, CNM
• Julia Bradford Blanton, M.ED. CCC-SLP
• Charmaine L Bliss, RN
• Cameron Bilbro Body, M.D.
• Brandon Bogues
• William B Bohannon, DO
• Robert Bookman Jr., MD

• All providers in Lagrange, GA
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.