A New Leaf Psychotherapy LLC
Organization Active NPI Clinical Social Worker · Springboro, OH
NPI 1326646266 · NPPES record last updated Jun 30, 2025
Key facts
- NPI
- 1326646266
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Legal business name
- A NEW LEAF PSYCHOTHERAPY LLC
- Practice address
- 550 N Main St Unit B
Springboro, OH 45066-7520 - Phone
- (937) 507-6520
- Fax
- (937) 889-2895
- NPI assigned
- Oct 13, 2020
- Organization subpart
- No
Authorized official
- Name
- Megan Pera, LCSW
- Title
- Sole Member
- Phone
- (937) 507-6520
Practitioners 4
-
Megan Pera, LCSW
-
Susan K Kahle, PHD
-
Mary Soisson Miller, MSW, LISW
-
Lorraine Marie Ward, LPCC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20201029000657 | OH | Part B Supplier - Clinic/Group Practice | 1658781877 |
Receives reassigned benefits from 1 practitioner Practice locations: Springboro, OH |
National Provider Directory
Locations
10552 Success Ln
Ste C
Dayton, OH 45458
550 N Main St
Unit B
Springboro, OH 45066
Phone (937) 507-6520
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | Yes |
Addresses
Primary practice location
550 N Main St Unit B
Springboro, OH 45066-7520
Mailing address
PO Box 596
Monroe, OH 45050-0596
Phone (937) 507-6520
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0424435 | Medicaid | OH |
Other providers in Springboro, OH
- A Reza Miremadi MD DDS LLC
- Jennifer Jenay Adams
- Katherine E Adams
- Nancy Adomako
- Advanced Joint Kinetics LLC
All providers in Springboro, OH · Clinical Social Worker in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 30, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.