Individual provider Active NPI

Amy Susan Leeser, LPC

  • Professional Counselor
  • Browns Mills, NJ
National Provider Identifier
1447673793
Registry record updated Jun 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC00545300 Issued in NJ
Practice address
103 Pennsylvania TRL
Browns Mills, NJ 08015-5329
Phone
(609) 667-3461
NPI assigned
Jan 22, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 37PC00545300 NJ Primary

Addresses

Primary practice location

103 Pennsylvania TRL
Browns Mills, NJ 08015-5329

Mailing address

PO Box 487
Browns Mills, NJ 08015-0487
Phone (609) 667-3461

Other practice location 1

795 Woodlane Rd
Westampton, NJ 08060-3832
Phone (609) 267-1377

Other practice location 2

252 Washington St Ste B2
Toms River, NJ 08753-7582
Phone (732) 966-4166

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

LicenseStateTypeSpecialty
37PC00545300NJMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Claramente LLC CurrentSince Jul 5, 2020 Accepting new patients
Swan Therapy Group LLC Professional CurrentSince Jan 1, 2020 Accepting new patients
Teladoc Health Medical Group, P.a. Counselor Current Accepting new patients

Locations

252 Washington St
Ste B2
Toms River, NJ 08753
Phone (732) 966-4166

Interoperability endpoints

  • Direct secure messaging: amyleeser@tdh.allscriptsdirect.net

Organizations & group practices 3

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": "1390348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593388800000",
    "number": "1447673793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 487",
            "city": "BROWNS MILLS",
            "state": "NJ",
            "postal_code": "080150487",
            "telephone_number": "609-667-3461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 PENNSYLVANIA TRL",
            "city": "BROWNS MILLS",
            "state": "NJ",
            "postal_code": "080155329",
            "telephone_number": "609-667-3461"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "795 Woodlane Rd",
            "address_purpose": "LOCATION",
            "city": "Westampton",
            "state": "NJ",
            "postal_code": "080603832",
            "country_code": "US",
            "telephone_number": "609-267-1377",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "252 Washington St Ste B2",
            "address_purpose": "LOCATION",
            "city": "Toms River",
            "state": "NJ",
            "postal_code": "087537582",
            "country_code": "US",
            "telephone_number": "732-966-4166",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEESER",
        "first_name": "AMY",
        "middle_name": "SUSAN",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-22",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00545300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Browns Mills, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.

Verify at the official NPI Registry.