Holly A Leupp, LISW

Primary specialty

Genetic Counselor (M.S.)Taxonomy code 170300000X

License

I.1500086 Issued in OH

Practice address

211 Biede Ave
Defiance, OH 43512-2408

Phone

(419) 782-8856

NPI assigned

Apr 3, 2013

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1364947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423526400000",
    "number": "1700129178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 BIEDE AVE.",
            "city": "DEFIANCE",
            "state": "OH",
            "postal_code": "435122497",
            "telephone_number": "419-782-8856",
            "fax_number": "419-782-2261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 BIEDE AVE",
            "city": "DEFIANCE",
            "state": "OH",
            "postal_code": "435122408",
            "telephone_number": "419-782-8856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEUPP",
        "first_name": "HOLLY",
        "middle_name": "A",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-03",
        "last_updated": "2015-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "S.1200925",
            "primary": false
        },
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "OH",
            "license": "I.1500086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas Lee, CRNA
• Legends Recovery Center of Defiance
• Deborah Lehnert
• Jennifer Leitner
• McKinzie E Leu
• Lizza A Lewis, RN
• Christine A Liebrecht, PHARMD
• Alicia Little, D.C.
• Emily S Logston
• Tamar Lomeli, RN

• Genetic Counselor (M.S.) in Defiance, OH
• Providers in Defiance, OH by specialty
• Genetic Counselor (M.S.) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.