Active NPI
Ryan Wood Leisy, M.ED; M.A.
- Mental Health Counselor
- Lincoln, NE
National Provider Identifier
1487858718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 9240
- Practice address
- 1145 High St
Lincoln, NE 68502-4440 - Phone
- (402) 423-6464
- NPI assigned
- Jun 12, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 9240 | NE | Primary |
Addresses
Primary practice location
1145 High St
Lincoln, NE 68502-4440
Mailing address
1145 High St
Lincoln, NE 68502-4440
Phone (402) 423-6464
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
| License | State | Type | Specialty |
|---|---|---|---|
| 9240 | NE | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287014400000",
"number": "1487858718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1145 HIGH ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685024440",
"telephone_number": "402-423-6464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1145 HIGH ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685024440",
"telephone_number": "402-423-6464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEISY",
"first_name": "RYAN",
"middle_name": "WOOD",
"credential": "M.ED; M.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-12",
"last_updated": "2010-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "9240",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.