Individual provider Active NPI

Angela McMath Leek, MA, LMFT, LPC

  • Professional Counselor
  • Fayetteville, AR
National Provider Identifier
1306909759
Registry record updated Feb 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
P1710368 Issued in AR
Practice address
230 W Center St
Fayetteville, AR 72701-5934
Phone
(479) 668-3688
NPI assigned
Dec 18, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC45155 CA
Professional Counselor 101YP2500X P1710368 AR Primary
Marriage & Family Therapist 106H00000X M1303002 AR

Addresses

Primary practice location

230 W Center St
Fayetteville, AR 72701-5934

Mailing address

230 W Center St
Fayetteville, AR 72701-5934
Phone (479) 668-3688

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
Master of Arts

State licenses

LicenseStateTypeSpecialty
P1710368ARMDProfessional Counselor
M1303002ARMDMarriage & Family Therapist
MFC45155CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Holos Collective Professional Current Accepting new patients
Holos Consulting, LLC Current Accepting new patients

Locations

230 W Center St
Fayetteville, AR 72701
Phone (479) 409-7753

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518480000000",
    "number": "1306909759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 W CENTER ST",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727015934",
            "telephone_number": "479-668-3688",
            "fax_number": "866-649-6788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 W CENTER ST",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727015934",
            "telephone_number": "479-668-3688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEEK",
        "first_name": "ANGELA",
        "middle_name": "MCMATH",
        "name_prefix": "Mrs.",
        "credential": "MA, LMFT, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-18",
        "last_updated": "2018-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC45155",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P1710368",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "AR",
            "license": "M1303002",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2018; 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.