Individual provider Active NPI

Leah Ondiek, LPC-S

  • Professional Counselor
  • Mansfield, TX
National Provider Identifier
1568707669
Registry record updated May 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
71542 Issued in TX
Practice address
404 E Broad St Ste 600
Mansfield, TX 76063-1743
Phone
(682) 414-2628
NPI assigned
Nov 30, 2012
Last updated
May 10, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 71542 TX Primary

Addresses

Primary practice location

404 E Broad St Ste 600
Mansfield, TX 76063-1743

Mailing address

404 E Broad St Ste 600
Mansfield, TX 76063-1743
Phone (682) 414-2628

Other identifiers 1

IdentifierTypeStateIssuer
348659903MedicaidTX

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
71542TXMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Holistic Approach to Mental Health, LLC Professional Current Accepting new patients
Teladoc Health Medical Group, P.a. Professional Current Accepting new patients

Locations

404 E Broad St
Ste 600
Mansfield, TX 76063
Phone (319) 600-6693

Interoperability endpoints

  • Direct secure messaging: leahondiek@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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1354233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620604800000",
    "number": "1568707669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 E BROAD ST STE 600",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760631743",
            "telephone_number": "682-414-2628",
            "fax_number": "682-324-0616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 E BROAD ST STE 600",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760631743",
            "telephone_number": "682-414-2628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONDIEK",
        "first_name": "LEAH",
        "credential": "LPC-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-30",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "71542",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "348659903",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2021; 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.