Individual provider Active NPI

Katherine Lynsey Leopard, M.ED.

  • Professional Counselor
  • Jacksonville, AL
National Provider Identifier
1154967800
Registry record updated Jul 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
1215 Jackson Way SW
Jacksonville, AL 36265-4306
Phone
(256) 239-5662
Fax
(256) 217-4162
NPI assigned
Nov 18, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

1215 Jackson Way SW
Jacksonville, AL 36265-4306

Mailing address

PO Box 1162
Jacksonville, AL 36265-5162
Phone (256) 239-5662

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective May 7, 2025 through May 7, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Education

Practice roles

OrganizationSpecialtyStatusNew patients
Helen Ross McNabb Center PastSince Nov 1, 2019 Accepting new patients
Garrett Counseling and Consulting Professional PastSince Jul 25, 2021 Accepting new patients
Mental Health Centers & Clinics of Tennessee PastSince Nov 1, 2019 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1574035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626652800000",
    "number": "1154967800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1162",
            "city": "JACKSONVILLE",
            "state": "AL",
            "postal_code": "362655162",
            "telephone_number": "256-239-5662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 JACKSON WAY SW",
            "city": "JACKSONVILLE",
            "state": "AL",
            "postal_code": "362654306",
            "telephone_number": "256-239-5662",
            "fax_number": "256-217-4162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEOPARD",
        "first_name": "KATHERINE",
        "middle_name": "LYNSEY",
        "credential": "M.ED.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-18",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, AL

Sources for this page

Verify at the official NPI Registry.