Individual provider Active NPI

Cindi Leigh Leveridge, MA LPC

  • Professional Counselor
  • San Marcos, TX
National Provider Identifier
1275062374
Registry record updated Jun 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
69385 Issued in TX
Practice address
705 W Hopkins St
San Marcos, TX 78666-4379
Phone
(512) 766-1736
NPI assigned
Jun 12, 2017
Last updated
Jun 12, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 69385 TX Primary

Addresses

Primary practice location

705 W Hopkins St
San Marcos, TX 78666-4379

Mailing address

7 Lakewood Cir
Wimberley, TX 78676-2145
Phone (512) 947-0672

Other identifiers 1

IdentifierTypeStateIssuer
1528464310MedicaidTX

Other names 1

  • Ms. Cindi Leigh Maddalone Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective May 29, 2024 through May 29, 2028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
69385TXMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1497225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497225600000",
    "number": "1275062374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 LAKEWOOD CIR",
            "city": "WIMBERLEY",
            "state": "TX",
            "postal_code": "786762145",
            "telephone_number": "512-947-0672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 W HOPKINS ST",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786664379",
            "telephone_number": "512-766-1736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVERIDGE",
        "first_name": "CINDI",
        "middle_name": "LEIGH",
        "name_prefix": "Ms.",
        "credential": "MA LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-12",
        "last_updated": "2017-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "69385",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1528464310",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CINDI",
            "last_name": "MADDALONE",
            "middle_name": "LEIGH",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Marcos, TX

Sources for this page

Verify at the official NPI Registry.