Individual provider Active NPI

Rosann Patricia Leadingham, LCPC,CADC

  • Mental Health Counselor
  • Buffalo Grove, IL
National Provider Identifier
1215175260
Registry record updated Apr 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LCPC180008155 Issued in IL
Practice address
1100 W Lake Cook Rd Ste 130
Buffalo Grove, IL 60089-1929
Phone
(630) 336-6185
NPI assigned
Jan 29, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CADC29734 IL
Mental Health Counselor 101YM0800X LCPC180008155 IL Primary

Addresses

Primary practice location

1100 W Lake Cook Rd Ste 130
Buffalo Grove, IL 60089-1929

Mailing address

1100 W Lake Cook Rd Ste 130
Buffalo Grove, IL 60089-1929
Phone (630) 336-6185

Other practice location 1

900 North Shore Dr Ste 120
Lake Bluff, IL 60044-2225
Phone (847) 615-1698

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
CADC29734ILMDAddiction (Substance Use Disorder) Counselor
LCPC180008155ILMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1233187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556496000000",
    "number": "1215175260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 W LAKE COOK RD STE 130",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600891929",
            "telephone_number": "630-336-6185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 W LAKE COOK RD STE 130",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600891929",
            "telephone_number": "630-336-6185"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 North Shore Dr Ste 120",
            "address_purpose": "LOCATION",
            "city": "Lake Bluff",
            "state": "IL",
            "postal_code": "600442225",
            "country_code": "US",
            "telephone_number": "847-615-1698",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEADINGHAM",
        "first_name": "ROSANN",
        "middle_name": "PATRICIA",
        "credential": "LCPC,CADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-29",
        "last_updated": "2019-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "CADC29734",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "LCPC180008155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2019; 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.