Thomas Leftwich

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC-10301 Issued in ID

Practice address

1799 N Lakes PL
Meridian, ID 83646-1833

Phone

(208) 888-5905

NPI assigned

May 13, 2024

Sex

Male

Sole proprietor

No

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

State licenses

Practice roles

Locations

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.

• Adolpho Enterprise LLC.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Boise, ID
  • NPI 1932454642
  NPD
• Family Counseling Services Inc

  • Mental Health Counselor
  • Meridian, ID
  • NPI 1427352921
  NPD
• Adolpho Enterprise LLC.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Boise, ID
  • NPI 1063340586
  NPD (past)
• Family Counseling Services

  • Developmentally Disabled Services Day Training Agency
  • Meridian, ID
  • NPI 1245782358
  NPD (past)

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

{
    "created_epoch": "1715558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1699524702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3649 N LAKEHARBOR LN",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837036913",
            "telephone_number": "208-991-4296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1799 N LAKES PL",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836461833",
            "telephone_number": "208-888-5905"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2995 N Cole Rd Ste 260",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837045976",
            "country_code": "US",
            "telephone_number": "208-888-5905",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEFTWICH",
        "first_name": "THOMAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-13",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "LPC-10301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy Elizabeth Lee
• Stephen Edward Leeb, DDS
• Tyler Paul Leenknecht
• Kayla Leer, DPT
• Elizabeth Lefevre
• Legacy Home Care II, LLC
• Legacy Home Care LC
• Legacy Hospice Care, LLC
• Legacy Hospice II, LLC
• Legacy Primary Care, LLC

• Professional Counselor in Meridian, ID
• Providers in Meridian, ID by specialty
• Professional Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; 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.