Active NPI
Leah Clare Lyle, LMFT
- Marriage & Family Therapist
- Fort Atkinson, WI
National Provider Identifier
1487147138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 1396-124
- Practice address
- 611 Sherman Ave E
Fort Atkinson, WI 53538-1960 - Phone
- (920) 563-9542
- NPI assigned
- Jun 7, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 1396-124 | WI | Primary |
Addresses
Primary practice location
611 Sherman Ave E
Fort Atkinson, WI 53538-1960
Mailing address
PO Box 249
Fort Atkinson, WI 53538-0249
Phone (920) 563-9542
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
611 E Sherman Ave
Fort Atkinson, WI 53538-1960
Phone (920) 568-5000
611 Sherman Ave E
Fort Atkinson, WI 53538-1960
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1396-124 | WI | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fort Healthcare Inc | Current | Accepting new patients | |
| Fort Healthcare, Inc. | Current | Accepting new patients | |
| Fort Healthcare Inc | Current | Accepting new patients |
Locations
1520 Madison Ave
Fort Atkinson, WI 53538
Phone (920) 563-5500
611 Sherman Ave E
Fort Atkinson, WI 53538
Phone (920) 563-6667
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/8F7ruIta-JA7ecm4ommy-Q50dF1FkFe4/
Organizations & group practices 4
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.
-
- Otolaryngology Physician
- Fort Atkinson, WI
- NPI 1417993361
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Portage, WI
- NPI 1780610923
-
- Rural Health Clinic/Center
- Fort Atkinson, WI
- NPI 1417450115
-
- General Acute Care Hospital
- Fort Atkinson, WI
- NPI 1811916281
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766102400000",
"number": "1487147138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 249",
"city": "FORT ATKINSON",
"state": "WI",
"postal_code": "535380249",
"telephone_number": "920-563-9542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 SHERMAN AVE E",
"city": "FORT ATKINSON",
"state": "WI",
"postal_code": "535381960",
"telephone_number": "920-563-9542"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYLE",
"first_name": "LEAH",
"middle_name": "CLARE",
"name_prefix": "Mrs.",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-07",
"last_updated": "2025-12-19",
"certification_date": "2025-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "WI",
"license": "1396-124",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Atkinson, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.