Individual provider Active NPI

Johnny D Leonard

  • Mental Health Counselor
  • Fayetteville, NC
National Provider Identifier
1407132079
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
9092 Issued in NC
Practice address
901 Arsenal Ave
Suite 202
Fayetteville, NC 28305-5398
Phone
(910) 323-3368
Fax
(910) 486-7000
NPI assigned
Oct 27, 2011
Last updated
Jul 31, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 2305 NC
Mental Health Counselor 101YM0800X 9092 NC Primary
Professional Counselor 101YP2500X 9092 NC

Addresses

Primary practice location

901 Arsenal Ave
Suite 202
Fayetteville, NC 28305-5398

Mailing address

225 Fairway Dr Apt a
Fayetteville, NC 28305-5564
Phone (910) 489-0429

Other practice location 1

225 Fairway Dr Apt A
Fayetteville, NC 28305-5564
Phone (910) 489-0429

Other identifiers 1

IdentifierTypeStateIssuer
6112397MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20240306002072 NC Practitioner - Mental Health Counselor 2769828326 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9092NCMDMental Health Counselor
2305NCMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Minds Therapeutic Services, PLLC Addiction (Substance Use Disorder) CurrentSince Nov 7, 2023 Accepting new patients
Biblical Counseling Services Mental Health CurrentSince Jan 1, 2024 Accepting new patients

Locations

225 Fairway Dr
Ste A
Fayetteville, NC 28305
Phone (910) 580-9346

4140 Ramsey St
Ste 108
Fayetteville, NC 28311
Phone (910) 580-9346

901 Arsenal Ave
Ste 201
Fayetteville, NC 28305
Phone (910) 323-3368

901 Arsenal Ave
Ste 202
Fayetteville, NC 28305
Phone (910) 323-3368

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": "1319673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1407132079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 FAIRWAY DR APT A",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283055564",
            "telephone_number": "910-489-0429",
            "fax_number": "910-229-3622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 ARSENAL AVE",
            "address_2": "SUITE 202",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283055398",
            "telephone_number": "910-323-3368",
            "fax_number": "910-486-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "225 Fairway Dr Apt A",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283055564",
            "country_code": "US",
            "telephone_number": "910-489-0429",
            "fax_number": "910-229-3622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEONARD",
        "first_name": "JOHNNY",
        "middle_name": "D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-27",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "2305",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "9092",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "9092",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6112397",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.