Individual provider Active NPI

Melinda Jean Leighty, LMHC

  • Professional Counselor
  • Los Lunas, NM
National Provider Identifier
1467755538
Registry record updated Jul 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0123571 Issued in NM
Practice address
4261 Palo Verde CT SW
Los Lunas, NM 87031-4324
Phone
(505) 220-1553
NPI assigned
Dec 13, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2019

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 0123571 NM Primary

Addresses

Primary practice location

4261 Palo Verde CT SW
Los Lunas, NM 87031-4324

Mailing address

4261 Palo Verde CT SW
Los Lunas, NM 87031-4324

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
0123571NMMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Community Lighthouse Past Accepting new patients
The Community Lighthouse Past Accepting new patients

Organizations & group practices 2

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": "1292198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563321600000",
    "number": "1467755538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4261 PALO VERDE CT SW",
            "city": "LOS LUNAS",
            "state": "NM",
            "postal_code": "870314324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4261 PALO VERDE CT SW",
            "city": "LOS LUNAS",
            "state": "NM",
            "postal_code": "870314324",
            "telephone_number": "505-220-1553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEIGHTY",
        "first_name": "MELINDA",
        "middle_name": "JEAN",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-13",
        "last_updated": "2019-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "0123571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Lunas, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2019; 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.