Individual provider Active NPI

Anastasia Leondis, MA, LMHC

  • Mental Health Counselor
  • Boca Raton, FL
National Provider Identifier
1710175153
Registry record updated Apr 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH11279 Issued in FL
Practice address
399 W Palmetto Park Rd Ste 106
Boca Raton, FL 33432-3760
Phone
(561) 961-9077
NPI assigned
Oct 10, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 000413 NY
Mental Health Counselor 101YM0800X MH11279 FL Primary

Addresses

Primary practice location

399 W Palmetto Park Rd Ste 106
Boca Raton, FL 33432-3760

Mailing address

800 SW 16TH St
Boca Raton, FL 33486-6956
Phone (561) 961-9077

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
MH11279FLMDMental Health Counselor
000413NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Boca Behavioral Health Mental Health CurrentSince Oct 25, 2020 Accepting new patients

Locations

399 W Palmetto Park Rd
Ste 106
Boca Raton, FL 33432
Phone (561) 961-9077

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1191974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618790400000",
    "number": "1710175153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 SW 16TH ST",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334866956",
            "telephone_number": "561-961-9077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "399 W PALMETTO PARK RD STE 106",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334323760",
            "telephone_number": "561-961-9077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEONDIS",
        "first_name": "ANASTASIA",
        "credential": "MA, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-10",
        "last_updated": "2021-04-19",
        "certification_date": "2021-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "000413",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH11279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.