Individual provider Active NPI

Vincent Wayne Leaver, LMHC

  • Mental Health Counselor
  • Fort Myers, FL
National Provider Identifier
1275647224
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH4346 Issued in FL
Practice address
9470 Health Park Circle
Hope Hospice
Ft Myers, FL 33908-3600
Phone
(239) 489-9156
NPI assigned
Aug 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH4346 FL Primary

Addresses

Primary practice location

9470 Health Park Circle
Hope Hospice
Ft Myers, FL 33908-3600

Mailing address

4025 Sandlewood Lane
Unit 4
Ft Myres, FL 33907-4646
Phone (239) 275-3097

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
MH4346FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275647224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4025 SANDLEWOOD LANE",
            "address_2": "UNIT 4",
            "city": "FT MYRES",
            "state": "FL",
            "postal_code": "339074646",
            "telephone_number": "239-275-3097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9470 HEALTH PARK CIRCLE",
            "address_2": "HOPE HOSPICE",
            "city": "FT MYERS",
            "state": "FL",
            "postal_code": "339083600",
            "telephone_number": "239-489-9156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEAVER",
        "first_name": "VINCENT",
        "middle_name": "WAYNE",
        "name_prefix": "Mr.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH4346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.