Active NPI
Julie R. Leavitt, ADTR,LMHC
- Professional Counselor
- Newton, MA
National Provider Identifier
1457515421
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 1295
- Practice address
- 53 Westchester Rd
Newton, MA 02458-2519 - Phone
- (617) 407-4290
- NPI assigned
- Jul 17, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 1295 | MA | Primary |
Addresses
Primary practice location
53 Westchester Rd
Newton, MA 02458-2519
Mailing address
35 Roundwood Rd
Newton, MA 02464-1218
Phone (617) 407-4290
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 |
|---|---|---|---|
| 1295 | MA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216252800000",
"number": "1457515421",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 ROUNDWOOD RD",
"city": "NEWTON",
"state": "MA",
"postal_code": "024641218",
"telephone_number": "617-407-4290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "53 WESTCHESTER RD",
"city": "NEWTON",
"state": "MA",
"postal_code": "024582519",
"telephone_number": "617-407-4290"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEAVITT",
"first_name": "JULIE",
"middle_name": "R.",
"name_prefix": "Ms.",
"credential": "ADTR,LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-17",
"last_updated": "2008-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MA",
"license": "1295",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.