Active NPI
Erica Leibrandt, LCPC
- Mental Health Counselor
- Glenview, IL
National Provider Identifier
1235641119
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 178013437
- Practice address
- 1247 Waukegan Rd Ste 103
Glenview, IL 60025-3057 - Phone
- (847) 657-9890
- Fax
- (847) 657-9891
- NPI assigned
- Oct 31, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 178013437 | IL | Primary |
Addresses
Primary practice location
1247 Waukegan Rd Ste 103
Glenview, IL 60025-3057
Mailing address
1247 Waukegan Rd Ste 103
Glenview, IL 60025-3057
Phone (847) 657-9890
Other practice location 1
1 Briar Rd
Golf, IL 60029-2000
Phone (847) 998-8478
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Nov 14, 2024 through Nov 14, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 178013437 | IL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sound Mind Counseling | Current | Accepting new patients |
Locations
1247 Waukegan Rd
Ste 103
Glenview, IL 60025
Phone (847) 361-0041
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Glenview, IL
- NPI 1013539782
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596499200000",
"number": "1235641119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1247 WAUKEGAN RD STE 103",
"city": "GLENVIEW",
"state": "IL",
"postal_code": "600253057",
"telephone_number": "847-657-9890",
"fax_number": "847-657-9891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1247 WAUKEGAN RD STE 103",
"city": "GLENVIEW",
"state": "IL",
"postal_code": "600253057",
"telephone_number": "847-657-9890",
"fax_number": "847-657-9891"
}
],
"practiceLocations": [
{
"address_1": "1 Briar Rd",
"address_purpose": "LOCATION",
"city": "Golf",
"state": "IL",
"postal_code": "600292000",
"country_code": "US",
"telephone_number": "847-998-8478",
"fax_number": "847-657-9891",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEIBRANDT",
"first_name": "ERICA",
"credential": "LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-10-31",
"last_updated": "2020-08-04",
"certification_date": "2020-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": "178013437",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glenview, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.