Individual provider Active NPI

Gwendolyn Leaf, MA

  • Mental Health Counselor
  • Northampton, MA
National Provider Identifier
1184104259
Registry record updated Aug 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
269 Main St
Northampton, MA 01060-3586
Phone
(413) 584-0075
NPI assigned
Aug 17, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

269 Main St
Northampton, MA 01060-3586

Mailing address

269 Main St
Northampton, MA 01060-3586
Phone (413) 584-0075

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20240111001144 MA Practitioner - Mental Health Counselor 4385095678 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

131 W Main St
Suite 1
Orange, MA 01364-1150
Phone (978) 544-2148

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Human Development, Inc. Mental Health CurrentSince Jan 1, 2024 Accepting new patients
Center for Human Development, Inc CurrentSince Jan 1, 2024 Accepting new patients

Locations

131 W Main St
#1
Orange, MA 01364
Phone (978) 544-2148

131 W Main St
Fl 1
Orange, MA 01364

367 Pine St
Springfield, MA 01105
Phone (413) 737-1426

332 Birnie Ave
Springfield, MA 01107
Phone (413) 439-2189

Organizations & group practices 2

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": "1534464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534464000000",
    "number": "1184104259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "269 MAIN ST",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010603586",
            "telephone_number": "413-584-0075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "269 MAIN ST",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010603586",
            "telephone_number": "413-584-0075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEAF",
        "first_name": "GWENDOLYN",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-17",
        "last_updated": "2018-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northampton, MA

Sources for this page

Verify at the official NPI Registry.