Jack Leftridge

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

2100 Roanoke St
Christiansburg, VA 24073-2512

Phone

(540) 322-3040

NPI assigned

Jan 7, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Galax Treatment Center, LLC

  • Methadone Clinic
  • Christiansburg, VA
  • NPI 1679172407
  NPD
• Galax Treatment Center, LLC

  • Methadone Clinic
  • Winchester, VA
  • NPI 1023617859
  NPD (past)

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

{
    "created_epoch": "1736208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736208000000",
    "number": "1235948969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 ROANOKE ST STE 1",
            "city": "CHRISTIANSBURG",
            "state": "VA",
            "postal_code": "240732512",
            "telephone_number": "540-322-3040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 ROANOKE ST",
            "city": "CHRISTIANSBURG",
            "state": "VA",
            "postal_code": "240732512",
            "telephone_number": "540-322-3040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEFTRIDGE",
        "first_name": "JACK",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-01-07",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Elizabeth Lawhorn-Spencer
• John Mark Lawson, MD
• Valerie Leake, PHD
• Lebolt Orthopedics PLLC
• Shelby Elizabeth Lee, PT, DPT
• Alison Williams Lepera, D.O.
• John W Leslie Jr., MD
• Lewis-Gale Physicians, LLC
• Hui Li
• Danielle Combs Liddle

• Addiction (Substance Use Disorder) Counselor in Christiansburg, VA
• Providers in Christiansburg, VA by specialty
• Addiction (Substance Use Disorder) Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; 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.