Individual provider Active NPI

Chausey Leebron, LMFT MA

  • Marriage & Family Therapist
  • Wilton, CT
National Provider Identifier
1215522164
Registry record updated Mar 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
27.002021 Issued in CT
Practice address
215 Mountain Rd
Wilton, CT 06897-1529
Phone
(512) 573-8409
NPI assigned
Mar 3, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 27.002021 CT Primary
Marriage & Family Therapist 106H00000X 201007 TX

Addresses

Primary practice location

215 Mountain Rd
Wilton, CT 06897-1529

Mailing address

215 Mountain Rd
Wilton, CT 06897-1529
Phone (512) 573-8409

Other names 1

  • Chausey Leebron Professional name

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
27.002021CTMDMarriage & Family Therapist
201007TXMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1614729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614729600000",
    "number": "1215522164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 MOUNTAIN RD",
            "city": "WILTON",
            "state": "CT",
            "postal_code": "068971529",
            "telephone_number": "512-573-8409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 MOUNTAIN RD",
            "city": "WILTON",
            "state": "CT",
            "postal_code": "068971529",
            "telephone_number": "512-573-8409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEEBRON",
        "first_name": "CHAUSEY",
        "credential": "LMFT MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-03",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "27.002021",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "201007",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHAUSEY",
            "last_name": "LEEBRON",
            "credential": "LMFT MA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Wilton, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2021; 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.