Active NPI
Kathryne Patricia Leonard, BA
- Mental Health Counselor
- Modesto, CA
National Provider Identifier
1629499603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- AMFT108415
- Practice address
- 2617 Coral Oak Dr
Modesto, CA 95355-9547 - Phone
- (209) 496-6992
- NPI assigned
- Dec 18, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 137678 | CA | |
| Mental Health Counselor | 101YM0800X | AMFT108415 | CA | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1711419111 | CA |
Addresses
Primary practice location
2617 Coral Oak Dr
Modesto, CA 95355-9547
Mailing address
620 N Aurora St Ste 6
Stockton, CA 95202-2276
Phone (209) 496-6992
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Bachelor of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1711419111 | CA | MD | Addiction (Substance Use Disorder) Counselor |
| AMFT108415 | CA | MD | Mental Health Counselor |
| 137678 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| San Joaquin Behavioral Health Services | Addiction (Substance Use Disorder) | Current | Accepting new patients |
Locations
1212 N California St
Stockton, CA 95202
Phone (209) 468-8660
620 N Aurora St
Ste 6
Stockton, CA 95202
Phone (209) 327-7241
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.
-
- Community/Behavioral Health Agency
- Stockton, CA
- NPI 1215028931
Addiction (Substance Use Disorder)
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1387324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759449600000",
"number": "1629499603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "620 N AURORA ST STE 6",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952022276",
"telephone_number": "209-496-6992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2617 CORAL OAK DR",
"city": "MODESTO",
"state": "CA",
"postal_code": "953559547",
"telephone_number": "209-496-6992"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEONARD",
"first_name": "KATHRYNE",
"middle_name": "PATRICIA",
"name_prefix": "Mrs.",
"credential": "BA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-12-18",
"last_updated": "2025-10-03",
"certification_date": "2025-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "137678",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "AMFT108415",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "1711419111",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2025; 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.