Individual provider Active NPI

Gemini Leitch, M.A., CMHC

  • Mental Health Counselor
  • Berlin, NH
National Provider Identifier
1376087650
Registry record updated Feb 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
3 12TH St
Berlin, NH 03570-3860
Phone
(603) 752-7404
NPI assigned
Dec 6, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

3 12TH St
Berlin, NH 03570-3860

Mailing address

3 12TH St
Berlin, NH 03570-3860
Phone (603) 752-7404

Other names 1

  • Gemini Demers Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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
I20240517003064 NH Practitioner - Mental Health Counselor 8123469343 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for New BeginningsGroup PAC ID 2961489117, 5 clinicians

Practice addresses (Care Compare)

229 Cottage St
Littleton, NH 03561-4100
Phone (603) 444-6465

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Center for New Beginnings Mental Health CurrentSince Jan 6, 2025 Accepting new patients
Northern Human Services CurrentSince May 8, 2024 Accepting new patients
Northern Human Services Mental Health PastSince May 8, 2024 Accepting new patients

Locations

3 12th St
Berlin, NH 03570
Phone (603) 752-7404

55 Colby St
Colebrook, NH 03576
Phone (603) 237-4955

87 Washington St
Conway, NH 03818
Phone (603) 447-3347

229 Cottage St
Littleton, NH 03561
Phone (603) 444-6465

Organizations & group practices 3

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": "1480982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613433600000",
    "number": "1376087650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 12TH ST",
            "city": "BERLIN",
            "state": "NH",
            "postal_code": "035703860",
            "telephone_number": "603-752-7404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 12TH ST",
            "city": "BERLIN",
            "state": "NH",
            "postal_code": "035703860",
            "telephone_number": "603-752-7404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEITCH",
        "first_name": "GEMINI",
        "credential": "M.A., CMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-06",
        "last_updated": "2021-02-16",
        "certification_date": "2021-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GEMINI",
            "last_name": "DEMERS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Berlin, NH

Sources for this page

Verify at the official NPI Registry.