Active NPI
Leanne Fahey, LMFT
- Counselor
- Punta Gorda, FL
National Provider Identifier
1598040842
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- MT1654
- Practice address
- 1700 Education Ave
Punta Gorda, FL 33950-6222 - Phone
- (941) 639-8300
- Fax
- (941) 347-6493
- NPI assigned
- Oct 19, 2011
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | MT1654 | FL | Primary |
Addresses
Primary practice location
1700 Education Ave
Punta Gorda, FL 33950-6222
Mailing address
1700 Education Ave
Punta Gorda, FL 33950-6222
Phone (941) 639-8300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004258800 | Medicaid | FL |
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
| License | State | Type | Specialty |
|---|---|---|---|
| MT1654 | FL | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332288000000",
"number": "1598040842",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 EDUCATION AVE",
"city": "PUNTA GORDA",
"state": "FL",
"postal_code": "339506222",
"telephone_number": "941-639-8300",
"fax_number": "941-347-6493"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 EDUCATION AVE",
"city": "PUNTA GORDA",
"state": "FL",
"postal_code": "339506222",
"telephone_number": "941-639-8300",
"fax_number": "941-347-6493"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAHEY",
"first_name": "LEANNE",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-19",
"last_updated": "2012-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "FL",
"license": "MT1654",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004258800",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Punta Gorda, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.