Individual provider Active NPI

Kristin Elizabeth Leonheart, M.S., LMFT

  • Marriage & Family Therapist
  • Carrboro, NC
National Provider Identifier
1205264637
Registry record updated Sep 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1613 Issued in NC
Practice address
104 Jones Ferry Rd Ste J
Carrboro, NC 27510-2036
Phone
(919) 810-3136
NPI assigned
Oct 22, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2023

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 1613 NC Primary

Addresses

Primary practice location

104 Jones Ferry Rd Ste J
Carrboro, NC 27510-2036

Mailing address

119 Barclay Rd
Chapel Hill, NC 27516-1402
Phone (919) 810-3136

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 6, 2024 through Jan 6, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1382400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694131200000",
    "number": "1205264637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 BARCLAY RD",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275161402",
            "telephone_number": "919-810-3136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 JONES FERRY RD STE J",
            "city": "CARRBORO",
            "state": "NC",
            "postal_code": "275102036",
            "telephone_number": "919-810-3136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEONHEART",
        "first_name": "KRISTIN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Miss",
        "credential": "M.S., LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-22",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "1613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrboro, NC

Sources for this page

Verify at the official NPI Registry.