Chasity Leblanc, FAMILY PEER SUPPORT

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

2041 Issued in NM

Practice address

1025 Hermosa Dr SE
Albuquerque, NM 87108-4312

Phone

(505) 237-0061

NPI assigned

Sep 2, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Better Together Family Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Albuquerque, NM
  • NPI 1871485219
  NPD Authorized official

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

{
    "created_epoch": "1630540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630540800000",
    "number": "1356019459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 HERMOSA DR SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871084312",
            "telephone_number": "505-237-0061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 HERMOSA DR SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871084312",
            "telephone_number": "505-237-0061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBLANC",
        "first_name": "CHASITY",
        "credential": "FAMILY PEER SUPPORT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-02",
        "last_updated": "2021-09-02",
        "certification_date": "2021-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NM",
            "license": "2041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "70784272",
            "state": "NM"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ALBUQUERQUE",
            "affiliation": "N",
            "address_1": "1025 Hermosa Dr SE",
            "city": "Albuquerque",
            "state": "NM",
            "country_code": "US",
            "postal_code": "871084312",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "DocuTrac",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "ALBUQUERQUE",
            "address_1": "1025 Hermosa Dr SE",
            "city": "Albuquerque",
            "state": "NM",
            "country_code": "US",
            "postal_code": "871084312",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Leavitt Enterprises
• Leeann Elizabeth Leazier
• Hernan Lebensohn, MD
• Teresa K Leberknight, PHARM.D
• Ulrike Lebkuechner, MD
• Kristen Leblanc, LMT
• Laura M Leblanc, C-FNP
• Sabine Lebow, LCSW
• Rachelle Ntange Lebughe, OWNER
• Todd Lecesne, MPAS, PA-C

• Peer Specialist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Peer Specialist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; 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.