Active NPI
Leondra Latrice Gipson, LPC
- Professional Counselor
- Montgomery, AL
National Provider Identifier
1558044982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC05532
- Practice address
- 2573 Fairlane Drive
Montgomery, AL 36116-2106 - Phone
- (334) 386-0861
- NPI assigned
- Aug 11, 2023
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC05532 | AL | Primary |
Addresses
Primary practice location
2573 Fairlane Drive
Montgomery, AL 36116-2106
Mailing address
PO Box 748465
Atlanta, GA 30374-8465
Phone (855) 284-7483
Other names 1
- Leondra Latrice Lawery
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2015
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1424 Blairwood
Montgomery, AL 36106-2225
2715 7TH St
Tuscaloosa, AL 35401-1805
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC05532 | AL | MD | Professional Counselor |
Organizations & group practices 1
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": "1691712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772668800000",
"number": "1558044982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 748465",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303748465",
"telephone_number": "855-284-7483",
"fax_number": "617-807-0958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2573 FAIRLANE DRIVE",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361162106",
"telephone_number": "334-386-0861"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIPSON",
"first_name": "LEONDRA",
"middle_name": "LATRICE",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-11",
"last_updated": "2026-03-05",
"certification_date": "2026-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AL",
"license": "LPC05532",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LEONDRA",
"last_name": "LAWERY",
"middle_name": "LATRICE",
"credential": "M.S.ED., NCC",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Montgomery, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.