Jack E Leahy

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

178018529 Issued in IL

Practice address

311 W Superior St Ste 402
Chicago, IL 60654-3537

Phone

(630) 487-1801

NPI assigned

Nov 11, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Light on Anxiety, P.C.

  • Cognitive & Behavioral Psychologist
  • Chicago, IL
  • NPI 1619308087

  Professional

  NPD (past)

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

{
    "created_epoch": "1573430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678320000000",
    "number": "1457996795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 W SUPERIOR ST STE 402",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606543537",
            "telephone_number": "312-584-2144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 W SUPERIOR ST STE 402",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606543537",
            "telephone_number": "630-487-1801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEAHY",
        "first_name": "JACK",
        "middle_name": "E",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-11-11",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178018529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lead Home Healthcare Inc.
• Kiera Leafblad, PT, DPT
• League Corp.
• Leah Schmitt Physical Therapy LTD.
• Leah Whiteman Therapy, PLLC
• Jean A. Leahy, PSY.D.
• Kathleen Mary Leahy, L.C.P.C.
• Kevin Ernest Leahy, MD
• Mari G Leahy, PHARMD
• Maureen Calkins Leahy, R.D.,L.D.

• Professional Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2023; 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.