Individual provider Active NPI

Amora F Leite

  • Professional Counselor
  • Nashville, TN
National Provider Identifier
1710434071
Registry record updated Jun 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
4623 Trousdale Dr
Nashville, TN 37204-4584
Phone
(615) 301-8431
Fax
(615) 301-8469
NPI assigned
Sep 3, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Marriage & Family Therapist 106H00000X IMF103785 CA
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

4623 Trousdale Dr
Nashville, TN 37204-4584

Mailing address

4623 Trousdale Dr
Nashville, TN 37204-4584
Phone (415) 209-4859

Other practice location 1

3301 E 12th St
Oakland, CA 94601-3424
Phone (510) 269-9030

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL 615-301-8469 Health Information Exchange (HIE)

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

State licenses

LicenseStateTypeSpecialty
IMF103785CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1472860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655683200000",
    "number": "1710434071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4623 TROUSDALE DR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372044584",
            "telephone_number": "415-209-4859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4623 TROUSDALE DR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372044584",
            "telephone_number": "615-301-8431",
            "fax_number": "615-301-8469"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3301 E 12th St",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946013424",
            "country_code": "US",
            "telephone_number": "510-269-9030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEITE",
        "first_name": "AMORA",
        "middle_name": "F",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-03",
        "last_updated": "2022-06-20",
        "certification_date": "2022-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF103785",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "615-301-8469",
            "affiliation": "N",
            "endpointDescription": "Fax number",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Nashville",
            "address_1": "4623 Trousdale Dr",
            "city": "Nashville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "372044584",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2022; 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.