Individual provider Active NPI

Emily Leatherberry, LPCA

  • Mental Health Counselor
  • Florence, KY
National Provider Identifier
1477301273
Registry record updated May 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
290052 Issued in KY
Practice address
75 Cavalier Blvd Ste 218
Florence, KY 41042-3958
Phone
(859) 287-4453
Fax
(859) 554-0985
NPI assigned
May 8, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 290052 KY Primary

Addresses

Primary practice location

75 Cavalier Blvd Ste 218
Florence, KY 41042-3958

Mailing address

75 Cavalier Blvd Ste 218
Florence, KY 41042-3958
Phone (859) 287-4453

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
290052KYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Very Unique Wellness PLLC Mental Health CurrentSince Jun 2, 2024 Accepting new patients

Locations

75 Cavalier Blvd
Ste 218
Florence, KY 41042
Phone (859) 594-4100

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": "1715126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715126400000",
    "number": "1477301273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 CAVALIER BLVD STE 218",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410423958",
            "telephone_number": "859-287-4453",
            "fax_number": "859-554-0985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 CAVALIER BLVD STE 218",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410423958",
            "telephone_number": "859-287-4453",
            "fax_number": "859-554-0985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEATHERBERRY",
        "first_name": "EMILY",
        "name_prefix": "Mrs.",
        "credential": "LPCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-08",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "290052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; 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.