Individual provider Active NPI

Leasa L Mowery, PCC

  • Counselor
  • Portsmouth, OH
National Provider Identifier
1669674008
Registry record updated Dec 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
E0003286 Issued in OH
Practice address
1729 27TH St BLDG G
Portsmouth, OH 45662-2638
Phone
(740) 354-1434
Fax
(740) 353-8811
NPI assigned
Jun 5, 2007
Last updated
Dec 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X E0003286 OH Primary

Addresses

Primary practice location

1729 27TH St BLDG G
Portsmouth, OH 45662-2638

Mailing address

1729 27TH Street BLDG G
Portsmouth, OH 45662
Phone (740) 354-1434

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address leasa.mowery@somc.medicity.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240307002399 OH Practitioner - Mental Health Counselor 4082980388 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E0003286OHMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Compass Community Health CurrentSince Jan 1, 2024 Accepting new patients
Compass Community Health CurrentSince Jan 1, 2024 Accepting new patients
Compass Community Health Current Accepting new patients
Ryan Sandlin LLC PastSince May 18, 2015 Accepting new patients
Somc Medical Care Foundation, Inc. Past Accepting new patients

Locations

1634 11th St
Portsmouth, OH 45662
Phone (740) 355-7102

1656 Coles Blvd
#A
Portsmouth, OH 45662
Phone (740) 355-7102

Interoperability endpoints

  • Direct secure messaging: leasa.mowery.p1@direct.compass-share.nextgenshare.com
  • Direct secure messaging: moweryl@somc.gwaydirect.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Compass Community HealthPortsmouth, OH, CCN 361148 Federally qualified health center Corporate Director May 7, 2012

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

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": "1181001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703030400000",
    "number": "1669674008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1729 27TH STREET BLDG G",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "45662",
            "telephone_number": "740-354-1434",
            "fax_number": "740-353-8811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1729 27TH ST BLDG G",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456622638",
            "telephone_number": "740-354-1434",
            "fax_number": "740-353-8811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOWERY",
        "first_name": "LEASA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "PCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-05",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "E0003286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "leasa.mowery@somc.medicity.net",
            "affiliation": "N",
            "address_1": "1729 27th St Bldg G",
            "city": "Portsmouth",
            "state": "OH",
            "country_code": "US",
            "postal_code": "456622638",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Portsmouth, OH

Sources for this page

Verify at the official NPI Registry.