Individual provider Active NPI

Leah Marie Humbert, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Marshall, MN
National Provider Identifier
1487406724
Registry record updated Apr 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
11468 Issued in MN
Practice address
1212 E College Dr
Marshall, MN 56258-2010
Phone
(507) 532-3236
NPI assigned
Apr 2, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11468 MN Primary

Addresses

Primary practice location

1212 E College Dr
Marshall, MN 56258-2010

Mailing address

481 Skaro St
Saint Peter, MN 56082-1989
Phone (763) 843-1579

Other practice location 1

481 Skaro St
Saint Peter, MN 56082-1989
Phone (763) 843-1579

Other practice location 2

481 Skaro St
Saint Peter, MN 56082-1989
Phone (763) 843-1579

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240508000330 MN Practitioner - Nurse Practitioner 1153762232 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Western Mental Health Center, Inc.Group PAC ID 7315856119, 22 clinicians

Practice addresses (Care Compare)

1212 E College Dr
Marshall, MN 56258-2010
Phone (507) 532-3236

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Western Mental Health Center, Inc. CurrentSince May 6, 2024 Accepting new patients
Echo Integrated Health LLC Psychiatric/Mental Health Past Accepting new patients

Locations

1212 E College Dr
Marshall, MN 56258
Phone (507) 532-3236

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/wmhcinc/r4/

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1712016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712448000000",
    "number": "1487406724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "481 SKARO ST",
            "city": "SAINT PETER",
            "state": "MN",
            "postal_code": "560821989",
            "telephone_number": "763-843-1579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 E COLLEGE DR",
            "city": "MARSHALL",
            "state": "MN",
            "postal_code": "562582010",
            "telephone_number": "507-532-3236"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "481 Skaro St",
            "address_purpose": "LOCATION",
            "city": "Saint Peter",
            "state": "MN",
            "postal_code": "560821989",
            "country_code": "US",
            "telephone_number": "763-843-1579",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "481 Skaro St",
            "address_purpose": "LOCATION",
            "city": "Saint Peter",
            "state": "MN",
            "postal_code": "560821989",
            "country_code": "US",
            "telephone_number": "763-843-1579",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUMBERT",
        "first_name": "LEAH",
        "middle_name": "MARIE",
        "credential": "APRN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-02",
        "last_updated": "2024-04-07",
        "certification_date": "2024-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "11468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshall, MN

Sources for this page

Verify at the official NPI Registry.