Wendy Leiba

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

1800 Pembrook Drive
Suite 300
Orlando, FL 32810-1512

Phone

(407) 406-2577

NPI assigned

Dec 18, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Ms. Wendy Leiba-Matos Former name

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": "1229558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435708800000",
    "number": "1679719876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2139 JUDITH PL",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327797012",
            "telephone_number": "407-406-2577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 PEMBROOK DRIVE",
            "address_2": "SUITE 300",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328101512",
            "telephone_number": "407-406-2577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEIBA",
        "first_name": "WENDY",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-18",
        "last_updated": "2015-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1679719876",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WENDY",
            "last_name": "LEIBA-MATOS",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kelsey Rae Larsen Lehman
• Charles Woolley Lehnardt, DO
• John T Lehr, MD
• Justin Zhou Lei
• Ying Lei, MD
• Jennifer Woodard Leiding, M.D.
• Caitlin Leiffer, OTR/L
• Desiree Arielle Leigh, APRN
• Lesli M. Leimer, PHARM.D.
• Johnathan Paul Lein, M.S.W., L.M.S.W.

• Counselor in Orlando, FL
• Providers in Orlando, FL by specialty
• Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2015; 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.