Mark S Leitzel, LCPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

920 Issued in MT

Practice address

40 2ND Street East #212
Kalispell, MT 59901-0000

Phone

(406) 756-0887

NPI assigned

Mar 8, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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.

• Two Rivers Center for Holistic Counseling and Healing Artz

  • Mental Health Counselor
  • Kalispell, MT
  • NPI 1306983242
  NPD (past)

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477684835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10462",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599043462",
            "telephone_number": "406-756-0887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 2ND STREET EAST #212",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599010000",
            "telephone_number": "406-756-0887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEITZEL",
        "first_name": "MARK",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MT",
            "license": "920",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0252671",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "744473",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adita Lee, L.C.P.C.
• Shannon K Lee, PA-C
• Bryan Jeffrey Leeper, D.P.T.
• Jodi K Leeper, PAC
• Karen Fechter Leggett, D.O.
• Alecia Leonetti
• Leslie B Anthony, DMD PC
• Leslie Hayden, PT
• Deborah Lynn Lessmeier, M.D.
• Rachelle Leukuma

• Mental Health Counselor in Kalispell, MT
• Providers in Kalispell, MT by specialty
• Mental Health Counselor in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.