Amber Leichtle, LMSW LADAC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

M-04710 Issued in NM

Practice address

1122 Industrial Park Rd
Espanola, NM 87532-3453

Phone

(505) 753-3143

NPI assigned

Sep 25, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Rio Arriba County

  • Adult Day Care Clinic/Center
  • Espanola, NM
  • NPI 1003568650
  NPD (past) Authorized official
• Rio Arriba County

  • Recovery Care Clinic/Center
  • Espanola, NM
  • NPI 1710630231
  NPD (past) Authorized official

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

{
    "created_epoch": "1253836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253836800000",
    "number": "1699009571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 INDUSTRIAL PARK RD",
            "city": "ESPANOLA",
            "state": "NM",
            "postal_code": "875323453",
            "telephone_number": "505-753-3143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 INDUSTRIAL PARK RD",
            "city": "ESPANOLA",
            "state": "NM",
            "postal_code": "875323453",
            "telephone_number": "505-753-3143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEICHTLE",
        "first_name": "AMBER",
        "credential": "LMSW LADAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-25",
        "last_updated": "2009-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NM",
            "license": "0071001",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "M-04710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Las Cumbres Community Services
• Las Cumbres Community Services
• LCT Inc
• Nathan Leach, LPCC
• Bruce A Legler, MD
• Lern Health Incorporated
• Enid D Lewis, RD
• Lori Leyba Martinez, RDH
• Marie M Leyba, LMSW
• Juanita E. Lintecum, RDH

• Mental Health Counselor in Espanola, NM
• Providers in Espanola, NM by specialty
• Mental Health Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2009; 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.