Individual provider Active NPI

June McMillan Leach, MS CCC-SLP

  • Speech-Language Pathologist
  • Orlando, FL
National Provider Identifier
1467717959
Registry record updated Jan 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA 7567 Issued in FL
Practice address
1936 Derby Glen Dr
Orlando, FL 32837-8027
Phone
(407) 856-5363
Fax
(407) 856-5363
NPI assigned
Jul 10, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SA 7567 FL Primary

Addresses

Primary practice location

1936 Derby Glen Dr
Orlando, FL 32837-8027

Mailing address

1936 Derby Glen Dr
Orlando, FL 32837-8027
Phone (407) 856-5363

Other identifiers 3

IdentifierTypeStateIssuer
889561900MedicaidFL
1578954863OtherACCESS OPTIONS, LLC NPI
1467717959OtherFLNPI

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SA 7567FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Access Options, LLC Speech-Language Pathologist Past Accepting new patients

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": "1341878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451779200000",
    "number": "1467717959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1936 DERBY GLEN DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328378027",
            "telephone_number": "407-856-5363",
            "fax_number": "407-856-5363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1936 DERBY GLEN DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328378027",
            "telephone_number": "407-856-5363",
            "fax_number": "407-856-5363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEACH",
        "first_name": "JUNE",
        "middle_name": "MCMILLAN",
        "name_prefix": "Ms.",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-10",
        "last_updated": "2016-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA 7567",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "889561900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACCESS OPTIONS, LLC NPI",
            "identifier": "1578954863",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1467717959",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2016; 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.