Tara Leibel, M.A., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP008661 Issued in GA

Practice address

2655 Hopewell Plantation Dr
Alpharetta, GA 30004-3657

Phone

(248) 981-6590

NPI assigned

Oct 21, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1256083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413763200000",
    "number": "1376879668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2655 HOPEWELL PLANTATION DR",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300043657",
            "telephone_number": "248-981-6590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2655 HOPEWELL PLANTATION DR",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300043657",
            "telephone_number": "248-981-6590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEIBEL",
        "first_name": "TARA",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-21",
        "last_updated": "2014-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP008661",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.010061",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Claire Legg, MS, RD, LD
• Elizabeth Leggett, CNM
• Myia Legrande
• Carol A Lehan, MD
• Shannon Lehr
• Lamngeune Leininger
• Jill Aarons Leitman, LCSW
• Jessica Lenahan
• Elizabeth M. Leonard, LMFT
• Gary Charles Leonard, DDS

• Speech-Language Pathologist in Alpharetta, GA
• Providers in Alpharetta, GA by specialty
• Speech-Language Pathologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2014; 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.