Individual provider Active NPI

Jodie Ann Leer, MA LMHC

  • Mental Health Counselor
  • Cannon Beach, OR
National Provider Identifier
1174706717
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH60160821 Issued in WA
Practice address
2103 Pacific Ave
Cannon Beach, OR 97110-3159
Phone
(253) 224-6686
NPI assigned
Dec 5, 2007
Last updated
Mar 26, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Mental Health Counselor 101YM0800X LH60160821 WA Primary
Professional Counselor 101YP2500X C10758 OR

Addresses

Primary practice location

2103 Pacific Ave
Cannon Beach, OR 97110-3159

Mailing address

2103 Pacific Ave
Cannon Beach, OR 97110-3159
Phone (253) 224-6686

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, OR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240118002233 WA Practitioner - Mental Health Counselor 9638521354 Reassigns benefits to 1 organization
I20260406001473 OR Practitioner - Mental Health Counselor 9638521354 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sondermind PAGroup PAC ID 3577099621, 78 clinicians

Practice addresses (Care Compare)

1400 112TH Ave SE
Suite 100
Bellevue, WA 98004-6901
Phone (866) 630-0966

2829 Buena Vista Rd
Nyssa, OR 97913-5301
Phone (866) 630-0966

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LH60160821WAMDMental Health Counselor
C10758ORMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sondermind, P.a. Mental Health CurrentSince Oct 9, 2025 Accepting new patients

Locations

10260 SW Greenburg Rd
Fl 4
Tigard, OR 97223
Phone (503) 405-9338

1400 112th Ave SE
Ste 100
Bellevue, WA 98004
Phone (425) 455-2526

Organizations & group practices 1

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": "1196812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774483200000",
    "number": "1174706717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2103 PACIFIC AVE",
            "city": "CANNON BEACH",
            "state": "OR",
            "postal_code": "971103159",
            "telephone_number": "253-224-6686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2103 PACIFIC AVE",
            "city": "CANNON BEACH",
            "state": "OR",
            "postal_code": "971103159",
            "telephone_number": "253-224-6686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEER",
        "first_name": "JODIE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "MA LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-05",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60160821",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C10758",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cannon Beach, OR

Sources for this page

Verify at the official NPI Registry.