Individual provider Active NPI

Amy Fleur Leiferman

  • Mental Health Counselor
  • Tempe, AZ
National Provider Identifier
1376153056
Registry record updated Aug 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LMSW-18757 Issued in AZ
Practice address
8727 S Priest Dr Ste 101
Tempe, AZ 85284-1915
Phone
(480) 247-6921
Fax
(480) 832-9274
NPI assigned
Aug 6, 2020
Last updated
Aug 6, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2020

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 LMSW-18757 AZ Primary

Addresses

Primary practice location

8727 S Priest Dr Ste 101
Tempe, AZ 85284-1915

Mailing address

8727 S Priest Dr Ste 101
Tempe, AZ 85284-1915
Phone (480) 247-6921

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

State licenses

LicenseStateTypeSpecialty
LMSW-18757AZMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1596672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596672000000",
    "number": "1376153056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8727 S PRIEST DR STE 101",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852841915",
            "telephone_number": "480-247-6921",
            "fax_number": "480-832-9274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8727 S PRIEST DR STE 101",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852841915",
            "telephone_number": "480-247-6921",
            "fax_number": "480-832-9274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEIFERMAN",
        "first_name": "AMY",
        "middle_name": "FLEUR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-06",
        "last_updated": "2020-08-06",
        "certification_date": "2020-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LMSW-18757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2020; 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.