Organization Active NPI

Leaps & Bounds Therapeutic Solutions Inc

  • Mental Health Counselor
  • Forest City, NC
National Provider Identifier
1619167848
Registry record updated Jul 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
LEAPS & BOUNDS THERAPEUTIC SOLUTIONS INC
Practice address
331 S Broadway St
Forest City, NC 28043-3648
Phone
(828) 247-4856
Fax
(828) 247-4857
NPI assigned
Jul 25, 2007
Last updated
Jul 25, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2007

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

Authorized official

Name
Phillip E Reynolds
Title
Owner/Director
Phone
(828) 247-4856

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

331 S Broadway St
Forest City, NC 28043-3648

Mailing address

331 S Broadway St
Forest City, NC 28043-3648
Phone (828) 247-4856

Other identifiers 1

IdentifierTypeStateIssuer
6006147MedicaidNC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185321600000",
    "number": "1619167848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 S BROADWAY ST",
            "city": "FOREST CITY",
            "state": "NC",
            "postal_code": "280433648",
            "telephone_number": "828-247-4856",
            "fax_number": "828-247-4857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 S BROADWAY ST",
            "city": "FOREST CITY",
            "state": "NC",
            "postal_code": "280433648",
            "telephone_number": "828-247-4856",
            "fax_number": "828-247-4857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEAPS & BOUNDS THERAPEUTIC SOLUTIONS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-25",
        "last_updated": "2007-07-25",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "828-247-4856"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6006147",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest City, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2007; 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.