Individual provider Active NPI

Len B Lecci, PHD

  • Clinical Psychologist
  • Wilmington, NC
National Provider Identifier
1194742858
Registry record updated Sep 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3041 Issued in NC
Practice address
219 Racine Dr
Wilmington, NC 28403-8827
Phone
(910) 791-6277
Fax
(910) 791-6226
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 3041 NC Primary

Addresses

Primary practice location

219 Racine Dr
Wilmington, NC 28403-8827

Mailing address

219 Racine Dr
Wilmington, NC 28403-8827
Phone (910) 791-6277

Other identifiers 1

IdentifierTypeStateIssuer
046JNOtherNCBLUE CROSS BLUE SHIELD #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20050510001091 NC Practitioner - Clinical Psychologist 3971543885 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lecci Psychological Services, PLLCGroup PAC ID 3476566324, 4 clinicians

Practice addresses (Care Compare)

4415 Junction Park Dr
Wilmington, NC 28412-2263
Phone (910) 791-6277

Merit-based Incentive Payment System (MIPS)

Final score
45.7 of 100Reported as group
Quality
54.91
Improvement activities
0
Cost
79.11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Lecci Psychological Services, PLLC CurrentSince Mar 1, 2006 Accepting new patients
Lecci Psychological Services, PLLC Past Accepting new patients

Locations

219 Racine Dr
Ste B
Wilmington, NC 28403
Phone (910) 791-6277

4415 Junction Park Dr
Wilmington, NC 28412
Phone (910) 791-6277

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347235200000",
    "number": "1194742858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 RACINE DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284038827",
            "telephone_number": "910-791-6277",
            "fax_number": "910-791-6226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 RACINE DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284038827",
            "telephone_number": "910-791-6277",
            "fax_number": "910-791-6226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LECCI",
        "first_name": "LEN",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2012-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "3041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD #",
            "identifier": "046JN",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.