Individual provider Active NPI

Leah Dittman, LMHC

  • Mental Health Counselor
  • Salem, MA
National Provider Identifier
1730674672
Registry record updated Dec 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
12103 Issued in MA
Practice address
26 Lynde St # 1a
Salem, MA 01970-3404
Phone
(774) 231-8757
Fax
(206) 752-8736
NPI assigned
Jun 23, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 12103 MA Primary

Addresses

Primary practice location

26 Lynde St # 1a
Salem, MA 01970-3404

Mailing address

675 VFW Pkwy Ste 168
Chestnut Hill, MA 02467-3656
Phone (774) 231-8757

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
12103MAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Leah Dittman, LMHC LLC Current Accepting new patients

Locations

185 Devonshire St
Ste 501
Boston, MA 02110
Phone (617) 681-8107

675 Vfw Pkwy
Chestnut Hill, MA 02467
Phone (617) 529-4989

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": "1529712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640044800000",
    "number": "1730674672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 VFW PKWY STE 168",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "024673656",
            "telephone_number": "774-231-8757",
            "fax_number": "206-752-8736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 LYNDE ST # 1A",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019703404",
            "telephone_number": "774-231-8757",
            "fax_number": "206-752-8736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DITTMAN",
        "first_name": "LEAH",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-23",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "12103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.