Active NPI
Jayson Leeman, M.ED., B.S.
- Professional Counselor
- Allentown, PA
National Provider Identifier
1285064279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC013425
- Practice address
- 801 E Green St
Allentown, PA 18109-1825 - Phone
- (610) 799-8910
- NPI assigned
- Nov 12, 2013
- Last updated
- May 17, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | ||
| Professional Counselor | 101YP2500X | PC013425 | PA | Primary |
Addresses
Primary practice location
801 E Green St
Allentown, PA 18109-1825
Mailing address
706 Golden Dr
Blandon, PA 19510-9662
Phone (610) 751-3292
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
- Credentials
- Bachelor of Science, Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC013425 | PA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Betterview Counseling and Trauma Recovery | Professional | Past | Accepting new patients |
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.
-
- Professional Counselor
- Wyomissing, PA
- NPI 1184389397
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684281600000",
"number": "1285064279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "706 GOLDEN DR",
"city": "BLANDON",
"state": "PA",
"postal_code": "195109662",
"telephone_number": "610-751-3292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 E GREEN ST",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181091825",
"telephone_number": "610-799-8910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEEMAN",
"first_name": "JAYSON",
"credential": "M.ED., B.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-11-12",
"last_updated": "2023-05-17",
"certification_date": "2023-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC013425",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Allentown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.