Leesa Beth Carlyon, MS, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC008481 Issued in PA

Practice address

480 Hackett Rd
Benton, PA 17814-7614

Phone

(570) 406-8678

NPI assigned

Oct 28, 2015

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 8, 2026.

{
    "created_epoch": "1445990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778198400000",
    "number": "1275905226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 HACKETT RD",
            "city": "BENTON",
            "state": "PA",
            "postal_code": "178147614",
            "telephone_number": "570-406-8678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 HACKETT RD",
            "city": "BENTON",
            "state": "PA",
            "postal_code": "178147614",
            "telephone_number": "570-406-8678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLYON",
        "first_name": "LEESA",
        "middle_name": "BETH",
        "credential": "MS,  LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-28",
        "last_updated": "2026-05-08",
        "certification_date": "2026-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC008481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benton Area School District
• Benton Volunteer Fire Company
• Benton Volunteer Fire Company Ambulance Assoc
• Bloomsburg Physicians Services
• Kendra Cituk, RN
• Colpharm Inc
• Kenneth Detlaf Cross, DMD
• Ann Smith Depoe, CRNP
• Geisinger Clinic

• All providers in Benton, PA
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.