Individual provider Active NPI

David Leadbetter, LSAA

  • Mental Health Counselor
  • Silver City, NM
National Provider Identifier
1730510413
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CMH0219691 Issued in NM
Practice address
1311 N Grant St Ste a
Silver City, NM 88061-5134
Phone
(757) 388-1447
Fax
(575) 388-1447
NPI assigned
Dec 6, 2013
Last updated
Nov 29, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 0176001 NM
Mental Health Counselor 101YM0800X CMH0219691 NM Primary

Addresses

Primary practice location

1311 N Grant St Ste a
Silver City, NM 88061-5134

Mailing address

1113 N Grant St Ste a
Silver City, NM 88061-5130
Phone (575) 388-1447

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240408001634 NM Practitioner - Mental Health Counselor 2769829449 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0176001NMMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Recovery and Resiliency Services Addiction (Substance Use Disorder) CurrentSince Dec 3, 2023 Accepting new patients
The Recovery Management Center Addiction (Substance Use Disorder) Current Accepting new patients
Recovery Management Center, PC Addiction (Substance Use Disorder) CurrentSince Oct 1, 2018 Accepting new patients

Locations

101 S Copper St
Deming, NM 88030
Phone (575) 590-8886

603 Hadeco Dr
Lordsburg, NM 88045
Phone (575) 542-3539

1311 N Grant St
Ste A
Silver City, NM 88061
Phone (575) 388-1447

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1386288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1730510413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1113 N GRANT ST STE A",
            "city": "SILVER CITY",
            "state": "NM",
            "postal_code": "880615130",
            "telephone_number": "575-388-1447",
            "fax_number": "575-388-1447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 N GRANT ST STE A",
            "city": "SILVER CITY",
            "state": "NM",
            "postal_code": "880615134",
            "telephone_number": "757-388-1447",
            "fax_number": "575-388-1447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEADBETTER",
        "first_name": "DAVID",
        "credential": "LSAA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-12-06",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NM",
            "license": "0176001",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "CMH0219691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver City, NM

Sources for this page

Verify at the official NPI Registry.