Individual provider Active NPI

Lindsey Jo Leitner

  • Mental Health Counselor
  • Fargo, ND
National Provider Identifier
1427770254
Registry record updated Sep 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1032-10-1-19A Issued in ND
Practice address
300 NP Ave N Ste 201
Fargo, ND 58102-4871
Phone
(701) 638-3834
Fax
(701) 638-3834
NPI assigned
Sep 19, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 1032-10-1-19A ND Primary

Addresses

Primary practice location

300 NP Ave N Ste 201
Fargo, ND 58102-4871

Mailing address

300 NP Ave N Ste 201
Fargo, ND 58102-4871
Phone (701) 638-3834

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND
Eligible to order & refer
  • Part B services: No
  • 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
I20240312002313 ND Practitioner - Mental Health Counselor 0547606667

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Relational Therapies PLLC CurrentSince Jan 22, 2024 Accepting new patients

Locations

300 Np Ave N
Ste 201
Fargo, ND 58102
Phone (701) 638-3834

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1663545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663545600000",
    "number": "1427770254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 NP AVE N STE 201",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581024871",
            "telephone_number": "701-638-3834",
            "fax_number": "701-638-3834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 NP AVE N STE 201",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581024871",
            "telephone_number": "701-638-3834",
            "fax_number": "701-638-3834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEITNER",
        "first_name": "LINDSEY",
        "middle_name": "JO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-19",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ND",
            "license": "1032-10-1-19A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fargo, ND

Sources for this page

Verify at the official NPI Registry.