Individual provider Active NPI

Gloria Louise Leak, MS, LPC, LCAS, CRC

  • Professional Counselor
  • Greenville, NC
National Provider Identifier
1447530589
Registry record updated Mar 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
8346 Issued in NC
Practice address
620 Lynndale CT Ste C
Greenville, NC 27858-5462
Phone
(252) 752-8602
NPI assigned
Aug 21, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 8346 NC Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1575 NC

Addresses

Primary practice location

620 Lynndale CT Ste C
Greenville, NC 27858-5462

Mailing address

2754 Ange St
Winterville, NC 28590-7913
Phone (919) 221-4158

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
I20260408002995 NC Practitioner - Mental Health Counselor 3476028390 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2006
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2006 Wayne Memorial Dr
Goldsboro, NC 27534-1720

2767 Cresset Dr
Winterville, NC 28590-6602

620 Lynndale CT
Suite C
Greenville, NC 27858-5462

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
8346NCMDProfessional Counselor
1575NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
East Coast Counseling Inc Addiction (Substance Use Disorder) CurrentSince Feb 10, 2026 Accepting new patients

Locations

620 Lynndale Ct
Ste C
Greenville, NC 27858
Phone (252) 752-8602

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": "1313884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773100800000",
    "number": "1447530589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2754 ANGE ST",
            "city": "WINTERVILLE",
            "state": "NC",
            "postal_code": "285907913",
            "telephone_number": "919-221-4158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 LYNNDALE CT STE C",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278585462",
            "telephone_number": "252-752-8602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEAK",
        "first_name": "GLORIA",
        "middle_name": "LOUISE",
        "credential": "MS, LPC, LCAS, CRC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-21",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "8346",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "1575",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

Verify at the official NPI Registry.