Adam Leidtke, P.C.C.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

E1400013 Issued in OH

Practice address

5851 Pearl Rd
Parma Heights, OH 44130-2113

Phone

(216) 845-9011

Fax

(216) 845-9013

NPI assigned

Sep 13, 2010

Last updated

Jan 22, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1284336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421884800000",
    "number": "1740597681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5851 PEARL RD",
            "city": "PARMA HEIGHTS",
            "state": "OH",
            "postal_code": "441302113",
            "telephone_number": "216-845-9011",
            "fax_number": "216-845-9013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5851 PEARL RD",
            "city": "PARMA HEIGHTS",
            "state": "OH",
            "postal_code": "441302113",
            "telephone_number": "216-845-9011",
            "fax_number": "216-845-9013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEIDTKE",
        "first_name": "ADAM",
        "name_prefix": "Mr.",
        "credential": "P.C.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-13",
        "last_updated": "2015-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E1400013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martha A Langenbahn, ED.D.
• Laverne Lauderdale
• Joan Alice Lederer, MD
• Jean Lee, DMD
• Sara Legeza, NP-C
• Leonard M. Tomsik, D.D.S., Inc.
• Elizabeth Lesko, COTA/L
• Antonio Ramon Chan Ligon, MD
• Vasilios Konstantinos Likos
• Thomas Joseph Liller Jr., D.D.S.

• Professional Counselor in Parma Heights, OH
• Providers in Parma Heights, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2015; 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.