Individual provider Active NPI

Leonardo Sebastian Muniz-Gallegos

  • Addiction (Substance Use Disorder) Counselor
  • Modesto, CA
National Provider Identifier
1407668494
Registry record updated Apr 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Practice address
1601 I St.
Ste. 200, 2ND FL.
Modesto, CA 95354
Phone
(888) 376-6246
NPI assigned
Jan 25, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Primary

Addresses

Primary practice location

1601 I St.
Ste. 200, 2ND FL.
Modesto, CA 95354

Mailing address

1601 I St.
Ste. 200, 2ND FL.
Modesto, CA 95354
Phone (888) 376-6246

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

NPI Registry JSON

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

{
    "created_epoch": "1737763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744934400000",
    "number": "1407668494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 I ST.",
            "address_2": "STE. 200, 2ND FL.",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "95354",
            "telephone_number": "888-376-6246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 I ST.",
            "address_2": "STE. 200, 2ND FL.",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "95354",
            "telephone_number": "888-376-6246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNIZ-GALLEGOS",
        "first_name": "LEONARDO",
        "middle_name": "SEBASTIAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-01-25",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2025; 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.