Active NPI
David Leadbetter, LSAA
- Mental Health Counselor
- Silver City, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- CMH0219691
- 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, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0176001 | NM | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Recovery and Resiliency Services | Addiction (Substance Use Disorder) | Current | Accepting new patients |
| The Recovery Management Center | Addiction (Substance Use Disorder) | Current | Accepting new patients |
| Recovery Management Center, PC | Addiction (Substance Use Disorder) | Current | 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.
-
- Addiction (Substance Use Disorder) Counselor
- Silver City, NM
- NPI 1942534664
-
- Community/Behavioral Health Agency
- Lordsburg, NM
- NPI 1063083996
Addiction (Substance Use Disorder)
-
- Addiction (Substance Use Disorder) Counselor
- Silver City, NM
- NPI 1265933162
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.