Larry Liebgold, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

13997 Issued in NC

Practice address

10800 Sikes PL Ste 300
Charlotte, NC 28277-8124

Phone

(720) 530-0500

NPI assigned

Aug 9, 2006

Last updated

Mar 25, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Southeast Child & Family Guidance, PLLC

  • Mental Health Counselor
  • Waxhaw, NC
  • NPI 1356629273
  NPD (past)

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553472000000",
    "number": "1508876962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 RIVER BEND BLVD",
            "city": "INDIAN LAND",
            "state": "SC",
            "postal_code": "297075523",
            "telephone_number": "720-530-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10800 SIKES PL STE 300",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282778124",
            "telephone_number": "720-530-0500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 Waxhaw Professional Park Dr Ste H",
            "address_purpose": "LOCATION",
            "city": "Waxhaw",
            "state": "NC",
            "postal_code": "281735018",
            "country_code": "US",
            "telephone_number": "704-256-0305 x10",
            "fax_number": "704-256-9968",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIEBGOLD",
        "first_name": "LARRY",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2019-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "13662",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "13997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lieberman Home Health (Comfort Keepers)
• Brendalynn Ijeoma-Ibe Lieberman, NP
• Eliza Lezin Lieberman, LCMHCA
• Jesse Lieberman, MD
• Michelle L Lieberman, OT
• Brooke Lieblich, RDN, LDN
• Revathi Lakkakula Liechty, D.P.T
• Gertrude H Lierman, LMFT
• Anna Liersaph, L.P.C.
• Abigail Marie Liescheidt

• Professional Counselor in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2019; 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.