Active NPI
Roy G. Leitch III, LCSW
- Clinical Social Worker
- Cedar Park, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 61347
- Practice address
- 345 Cypress Creek Rd Ste 102
Cedar Park, TX 78613-4484 - Phone
- (512) 842-5168
- NPI assigned
- Sep 14, 2015
- Last updated
- Nov 18, 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 | 61347 | TX | |
| Clinical Social Worker | 1041C0700X | 61347 | TX | Primary |
Addresses
Primary practice location
345 Cypress Creek Rd Ste 102
Cedar Park, TX 78613-4484
Mailing address
3812 Good Night TRL
Leander, TX 78641-3608
Phone (248) 797-6775
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61347 | TX | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrive Counseling LLC | Mental Health | Current | Accepting new patients |
Locations
345 Cypress Creek Rd
Ste 102
Cedar Park, TX 78613
Phone (512) 649-2270
1000 Post and Paddock St
Ste 102
Grand Prairie, TX 75050
4903 82nd St
Ste 60
Lubbock, TX 79424
Phone (806) 507-6934
1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263
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, 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": "1442188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574035200000",
"number": "1568830024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3812 GOOD NIGHT TRL",
"city": "LEANDER",
"state": "TX",
"postal_code": "786413608",
"telephone_number": "248-797-6775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "345 CYPRESS CREEK RD STE 102",
"city": "CEDAR PARK",
"state": "TX",
"postal_code": "786134484",
"telephone_number": "512-842-5168"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEITCH",
"first_name": "ROY",
"middle_name": "G.",
"name_suffix": "III",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-09-14",
"last_updated": "2019-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "61347",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "61347",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cedar Park, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2019; 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.