Active NPI
Jonathan Hunter Leachmon, LPC, NCC
- Professional Counselor
- Austell, GA
National Provider Identifier
1518521012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC011533
- Practice address
- 3950 Austell Rd
Austell, GA 30106-1121 - Phone
- (470) 732-3789
- NPI assigned
- Apr 30, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | APC--6464 | GA | |
| Professional Counselor | 101YP2500X | LPC011533 | GA | Primary |
Addresses
Primary practice location
3950 Austell Rd
Austell, GA 30106-1121
Mailing address
3950 Austell Rd
Austell, GA 30106-1121
Other practice location 1
240 Mitchell Bridge Rd
Athens, GA 30606-2043
Phone (706) 389-6789
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APC--6464 | GA | MD | Mental Health Counselor |
| LPC011533 | GA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Mental Health | Current | Accepting new patients |
| Palmer Counseling and Wellness LLC | Mental Health | Current | Accepting new patients |
Interoperability endpoints
- jonathanleachmon@tdh.allscriptsdirect.net
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.
-
- Family Medicine Physician
- Lewisville, TX
- NPI 1245403567
Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616457600000",
"number": "1518521012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3950 AUSTELL RD",
"city": "AUSTELL",
"state": "GA",
"postal_code": "301061121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3950 AUSTELL RD",
"city": "AUSTELL",
"state": "GA",
"postal_code": "301061121",
"telephone_number": "470-732-3789"
}
],
"practiceLocations": [
{
"address_1": "240 Mitchell Bridge Rd",
"address_purpose": "LOCATION",
"city": "Athens",
"state": "GA",
"postal_code": "306062043",
"country_code": "US",
"telephone_number": "706-389-6789",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEACHMON",
"first_name": "JONATHAN",
"middle_name": "HUNTER",
"credential": "LPC, NCC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-30",
"last_updated": "2021-03-23",
"certification_date": "2021-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "GA",
"license": "APC--6464",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC011533",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.