Active NPI
Chelsea Lynn Leatherman, LPC
- Counselor
- Eagle, ID
National Provider Identifier
1427651272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- LPC-7818
- Practice address
- 1032 S Bridgeway PL # 110
Eagle, ID 83616-6099 - Phone
- (208) 246-0123
- Fax
- (208) 246-0125
- NPI assigned
- Nov 16, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | LPC-7818 | ID | Primary |
Addresses
Primary practice location
1032 S Bridgeway PL # 110
Eagle, ID 83616-6099
Mailing address
6270 N Park Meadow Way Apt 102
Boise, ID 83713-1675
Phone (208) 350-8877
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
| License | State | Type | Specialty |
|---|---|---|---|
| LPC-7818 | ID | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605484800000",
"number": "1427651272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6270 N PARK MEADOW WAY APT 102",
"city": "BOISE",
"state": "ID",
"postal_code": "837131675",
"telephone_number": "208-350-8877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1032 S BRIDGEWAY PL # 110",
"city": "EAGLE",
"state": "ID",
"postal_code": "836166099",
"telephone_number": "208-246-0123",
"fax_number": "208-246-0125"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEATHERMAN",
"first_name": "CHELSEA",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-16",
"last_updated": "2020-11-16",
"certification_date": "2020-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "ID",
"license": "LPC-7818",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eagle, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.