Leisa Dukes

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

304 Arlington Dr
Vidalia, GA 30474-8935

Phone

(912) 537-1414

NPI assigned

Dec 1, 2021

Last updated

Dec 1, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1638316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638316800000",
    "number": "1679231252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 CENTER DR",
            "city": "VIDALIA",
            "state": "GA",
            "postal_code": "304745213",
            "telephone_number": "912-293-6329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 ARLINGTON DR",
            "city": "VIDALIA",
            "state": "GA",
            "postal_code": "304748935",
            "telephone_number": "912-537-1414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUKES",
        "first_name": "LEISA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-01",
        "last_updated": "2021-12-01",
        "certification_date": "2021-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dental Center of Vidalia
• John Burton Derrick
• Melania B. Domingo, M.D.
• Dr. F. Geoffery Conner PC
• Andrew Blake Dukes, DC
• Joy M Dunn, MD
• Mary Dyal
• E & I Helping Hands Personal Care Home Inc
• East Georgia Healthcare Center, Inc.
• David S. Edmonds, O.D.

• Mental Health Counselor in Vidalia, GA
• Providers in Vidalia, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2021; 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.