Individual provider Active NPI

Chelsea S Leeds, ATR-BC, LMHC

  • Mental Health Counselor
  • Indianapolis, IN
National Provider Identifier
1497243653
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
39003261A Issued in IN
Practice address
5226 S East St Ste A9
Indianapolis, IN 46227-1982
Phone
(317) 458-5894
Fax
(317) 981-1652
NPI assigned
Apr 24, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2024

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 39003261A IN Primary

Addresses

Primary practice location

5226 S East St Ste A9
Indianapolis, IN 46227-1982

Mailing address

5226 S East St Ste A9
Indianapolis, IN 46227-1982
Phone (317) 458-5894

Other identifiers 1

IdentifierTypeStateIssuer
39003261AOtherININDIANA LICENSING BOARD

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
39003261AINMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Chelsea Leeds Art Therapy and Counseling Mental Health CurrentSince Sep 1, 2024 Accepting new patients
Centerstone of Indiana, Inc. Past Accepting new patients

Locations

5226 S East St
Ste A9
Indianapolis, IN 46227
Phone (317) 458-5894

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.

NPI Registry JSON

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

{
    "created_epoch": "1524528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1497243653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5226 S EAST ST STE A9",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462271982",
            "telephone_number": "317-458-5894",
            "fax_number": "317-981-1652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5226 S EAST ST STE A9",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462271982",
            "telephone_number": "317-458-5894",
            "fax_number": "317-981-1652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEEDS",
        "first_name": "CHELSEA",
        "middle_name": "S",
        "credential": "ATR-BC, LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-24",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39003261A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIANA LICENSING BOARD",
            "identifier": "39003261A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; 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.