Individual provider Active NPI

Georganna Leavesley, PHD

  • Counseling Psychologist
  • New Orleans, LA
National Provider Identifier
1356492664
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
653 Issued in LA
Practice address
137 N Clark St
New Orleans, LA 70119-5207
Phone
(985) 781-0548
Fax
(985) 781-4319
NPI assigned
Jan 15, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 653 LA Primary

Addresses

Primary practice location

137 N Clark St
New Orleans, LA 70119-5207

Mailing address

137 N Clark St
New Orleans, LA 70119-5207
Phone (985) 781-0548

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050923000231 LA Practitioner - Clinical Psychologist 6507890050 Practice locations: New Orleans, LA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

137 N Clark St
New Orleans, LA 70119-5244
Phone (504) 483-1025

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356492664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 N CLARK ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701195207",
            "telephone_number": "985-781-0548",
            "fax_number": "985-781-4319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 N CLARK ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701195207",
            "telephone_number": "985-781-0548",
            "fax_number": "985-781-4319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEAVESLEY",
        "first_name": "GEORGANNA",
        "name_prefix": "Mrs.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "LA",
            "license": "653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.