Individual provider Active NPI

Lynnie Leopard, MRC, CRC, CACII, LPC

  • Professional Counselor
  • Columbia, SC
National Provider Identifier
1750612214
Registry record updated Apr 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
5082 Issued in SC
Practice address
1415 Blanding St
Suite 4
Columbia, SC 29201-2922
Phone
(803) 779-7500
Fax
(803) 779-7522
NPI assigned
Jan 23, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 5082 SC Primary

Addresses

Primary practice location

1415 Blanding St
Suite 4
Columbia, SC 29201-2922

Mailing address

1517 Whippoorwill Dr
West Columbia, SC 29169-4745
Phone (803) 312-2752

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20250919003399 SC Practitioner - Mental Health Counselor 1052622297 Practice locations: Columbia, SC

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
University of South Carolina School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

140 Stoneridge Dr
Suite 210
Columbia, SC 29210-8200

140 Stoneridge Dr
Suite 210
Columbia, SC 29210-8270
Phone (803) 451-7600

1517 Whippoorwill Dr
West Columbia, SC 29169-4745

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5082SCMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1264204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365811200000",
    "number": "1750612214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1517 WHIPPOORWILL DR",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291694745",
            "telephone_number": "803-312-2752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 BLANDING ST",
            "address_2": "SUITE 4",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012922",
            "telephone_number": "803-779-7500",
            "fax_number": "803-779-7522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEOPARD",
        "first_name": "LYNNIE",
        "name_prefix": "Ms.",
        "credential": "MRC, CRC, CACII, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-23",
        "last_updated": "2013-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "5082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.