Individual provider Active NPI

Alan O. Ledet, LMFT

  • Marriage & Family Therapist
  • Ithaca, NY
National Provider Identifier
1194912691
Registry record updated Sep 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
000465 Issued in NY
Practice address
319 N Tioga St
Ithaca, NY 14850-4205
Phone
(607) 266-8169
Fax
(607) 257-3943
NPI assigned
Sep 27, 2007
Last updated
Sep 27, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 000465 NY Primary

Addresses

Primary practice location

319 N Tioga St
Ithaca, NY 14850-4205

Mailing address

319 N Tioga St
Ithaca, NY 14850-4205
Phone (607) 266-8169

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
000465NYMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1190851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190851200000",
    "number": "1194912691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 N TIOGA ST",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148504205",
            "telephone_number": "607-266-8169",
            "fax_number": "607-257-3943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 N TIOGA ST",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148504205",
            "telephone_number": "607-266-8169",
            "fax_number": "607-257-3943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEDET",
        "first_name": "ALAN",
        "middle_name": "O.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-27",
        "last_updated": "2007-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NY",
            "license": "000465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ithaca, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2007; 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.