Leah Annette Boney, MS, QMHP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

612 S Western Ave Apt 1
Chicago, IL 60612-4682

Phone

(331) 330-9955

NPI assigned

Feb 26, 2018

Sex

Female

Sole proprietor

No

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

Credentials

Master of Science

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

{
    "created_epoch": "1519603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1477054377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15010 S RAVINIA AVE STE 15",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604625353",
            "telephone_number": "708-518-0748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 S WESTERN AVE APT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606124682",
            "telephone_number": "331-330-9955"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15010 S Ravinia Ave Ste 15",
            "address_purpose": "LOCATION",
            "city": "Orland Park",
            "state": "IL",
            "postal_code": "604625353",
            "country_code": "US",
            "telephone_number": "708-364-0580",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "28373 Davis Pkwy Ste 500",
            "address_purpose": "LOCATION",
            "city": "Warrenville",
            "state": "IL",
            "postal_code": "605551437",
            "country_code": "US",
            "telephone_number": "331-330-9955",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BONEY",
        "first_name": "LEAH",
        "middle_name": "ANNETTE",
        "credential": "MS, QMHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-26",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Chicago, IL
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.