Individual provider Active NPI

Olivia Leber, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Madison, MS
National Provider Identifier
1396486551
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
905174 Issued in MS
Practice address
1976 Eastridge Cir
Madison, MS 39110-2201
Phone
(601) 835-7536
NPI assigned
Apr 4, 2022
Last updated
Oct 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 905174 MS
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 905174 MS Primary

Addresses

Primary practice location

1976 Eastridge Cir
Madison, MS 39110-2201

Mailing address

1976 Eastridge Cir
Madison, MS 39110-2201
Phone (601) 835-7536

Other practice location 1

230 Trace Colony Park Dr Ste 4
Ridgeland, MS 39157-8851
Phone (601) 420-5810

Other practice location 2

2969 Curran Dr N
Jackson, MS 39216-4121
Phone (601) 200-3100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221011000712 MS Practitioner - Nurse Practitioner 3971989252 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Precise Clinical Neuroscience SpecialistsGroup PAC ID 4880737626, 37 clinicians

Practice addresses (Care Compare)

230 Trace Colony Park Dr
Suite 4
Ridgeland, MS 39157-8851
Phone (601) 420-5810

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Precise Clinical Neuroscience Specialists CurrentSince Aug 23, 2022 Accepting new patients
Precise Psychopharmacology LLC Past Accepting new patients

Locations

3531 Lakeland Dr
Ste 1060
Flowood, MS 39232
Phone (601) 420-5812

230 Trace Colony Park Dr
Ste 4
Ridgeland, MS 39157

Interoperability endpoints

  • Direct secure messaging: oleber2523056@direct.casso.us.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1649030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760486400000",
    "number": "1396486551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1976 EASTRIDGE CIR",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391102201",
            "telephone_number": "601-835-7536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1976 EASTRIDGE CIR",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391102201",
            "telephone_number": "601-835-7536"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "230 Trace Colony Park Dr Ste 4",
            "address_purpose": "LOCATION",
            "city": "Ridgeland",
            "state": "MS",
            "postal_code": "391578851",
            "country_code": "US",
            "telephone_number": "601-420-5810",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2969 Curran Dr N",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392164121",
            "country_code": "US",
            "telephone_number": "601-200-3100",
            "fax_number": "601-200-8846",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEBER",
        "first_name": "OLIVIA",
        "name_prefix": "Mrs.",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-04",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "905174",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MS",
            "license": "905174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, MS

Sources for this page

Verify at the official NPI Registry.