Individual provider Active NPI

Leilani Langdon, LCSW

  • Counselor
  • Maperville, IL
National Provider Identifier
1326215591
Registry record updated Feb 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
29 South Webster Street Suite 260
Maperville, IL 60540
Phone
(815) 407-7236
NPI assigned
May 15, 2008
Last updated
Feb 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

29 South Webster Street Suite 260
Maperville, IL 60540

Mailing address

1850 Colfax Ave
Benton Harbor, MI 49022-6753
Phone (269) 926-6199

Other names 1

  • Leilani Mercado Former name

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

NPI Registry JSON

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

{
    "created_epoch": "1210809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708905600000",
    "number": "1326215591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 COLFAX AVE",
            "city": "BENTON HARBOR",
            "state": "MI",
            "postal_code": "490226753",
            "telephone_number": "269-926-6199",
            "fax_number": "269-926-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 SOUTH WEBSTER STREET SUITE 260",
            "city": "MAPERVILLE",
            "state": "IL",
            "postal_code": "60540",
            "telephone_number": "815-407-7236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGDON",
        "first_name": "LEILANI",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-15",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEILANI",
            "last_name": "MERCADO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; 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.