Active NPI
Erin Leach
- Professional Counselor
- Lakewood, CO
National Provider Identifier
1730824723
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0017714
- Practice address
- 550 S Wadsworth Blvd
Lakewood, CO 80226-3111 - Phone
- (303) 954-4052
- Fax
- (303) 399-8010
- NPI assigned
- May 3, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0017714 | Primary |
Addresses
Primary practice location
550 S Wadsworth Blvd
Lakewood, CO 80226-3111
Mailing address
12954 W Iliff Ave
Lakewood, CO 80228-4336
Phone (303) 954-4052
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | credentialing@psychgo.com |
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychotherapy and Care Management on the Go, LLC | Professional | Past | Accepting new patients |
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.
-
- Clinical Social Worker
- Lakewood, CO
- NPI 1689823668
Professional
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651536000000",
"number": "1730824723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12954 W ILIFF AVE",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802284336",
"telephone_number": "303-954-4052",
"fax_number": "303-399-8010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 S WADSWORTH BLVD",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802263111",
"telephone_number": "303-954-4052",
"fax_number": "303-399-8010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEACH",
"first_name": "ERIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-03",
"last_updated": "2022-05-03",
"certification_date": "2022-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": "0017714",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "credentialing@psychgo.com",
"affiliation": "N",
"address_1": "550 S Wadsworth Blvd",
"city": "Lakewood",
"state": "CO",
"country_code": "US",
"postal_code": "802263111",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Lakewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.