Leah A Burton, PSY.D., L.P.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

2949-57 Issued in WI

Practice address

901 4TH St
C/O Collaborative Counseling, LLC
Hudson, WI 54016-1681

Phone

(715) 760-4116

Fax

(763) 210-6886

NPI assigned

Aug 22, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

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

Specialty

Clinical Psychologist

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Collaborative Counseling LLCGroup PAC ID 3678711900, 43 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Collaborative Counseling LLC

  • Mental Health Counselor
  • Maple Grove, MN
  • NPI 1598034324

  WI

  Medicare reassignment Care Compare group NPD
• Allied Mental Health Specialty Group SC

  • Psychologist
  • Hudson, WI
  • NPI 1831315191

  Professional

  NPD (past)

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

{
    "created_epoch": "1313971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491782400000",
    "number": "1205116241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 4TH ST",
            "address_2": "C/O COLLABORATIVE COUNSELING, LLC",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540161681",
            "telephone_number": "715-760-4116",
            "fax_number": "763-210-6886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 4TH ST",
            "address_2": "C/O COLLABORATIVE COUNSELING, LLC",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540161681",
            "telephone_number": "715-760-4116",
            "fax_number": "763-210-6886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURTON",
        "first_name": "LEAH",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PSY.D., L.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-22",
        "last_updated": "2017-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "1146-226",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WI",
            "license": "2949-57",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Buerger, PHARM.D.
• Building Blocks Therapy Nook LLC
• Kristina Burk, ATC
• Sarah Burke, M.D.
• Burkwood, Inc.
• Lauren Mae Butterbaugh, MOT
• Dana Marie Butterbrodt, MSN, FNP-C, APNP
• Kyra Caauwe
• Shelly Lynn Callais-Odell
• Calming Currents Mental Health LLC

• Psychologist in Hudson, WI
• Providers in Hudson, WI by specialty
• Psychologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.