Individual provider Active NPI

Leonarda Decker, LMHC

  • Mental Health Counselor
  • Iowa City, IA
National Provider Identifier
1477966570
Registry record updated Jun 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
001474 Issued in IA
Practice address
438 Southgate Ave
Iowa City, IA 52240-4425
Phone
(319) 351-9072
Fax
(319) 341-3930
NPI assigned
Jun 5, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2014

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 001474 IA Primary

Addresses

Primary practice location

438 Southgate Ave
Iowa City, IA 52240-4425

Mailing address

438 Southgate Ave
Iowa City, IA 52240-4425
Phone (319) 351-9072

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
001474IAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Serenity Counseling & Psychotherapy Current Accepting new patients
Serenity Counseling & Psychotherapy Current Accepting new patients
Prelude Behavioral Services Past Accepting new patients

Organizations & group practices 3

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": "1401926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401926400000",
    "number": "1477966570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "438 SOUTHGATE AVE",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522404425",
            "telephone_number": "319-351-9072",
            "fax_number": "319-341-3930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "438 SOUTHGATE AVE",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522404425",
            "telephone_number": "319-351-9072",
            "fax_number": "319-341-3930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECKER",
        "first_name": "LEONARDA",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-05",
        "last_updated": "2014-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "001474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Iowa City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2014; 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.