Active NPI
Mark G Leach, LMHC
- Mental Health Counselor
- Albany, NY
National Provider Identifier
1750893202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 007541
- Practice address
- 4 Pine West PLZ Ste 403
Albany, NY 12205-5515 - Phone
- (518) 691-0732
- NPI assigned
- Oct 24, 2017
- 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 | 30777 | NY | |
| Mental Health Counselor | 101YM0800X | 007541 | NY | Primary |
Addresses
Primary practice location
4 Pine West PLZ Ste 403
Albany, NY 12205-5515
Mailing address
128 Sharpe Rd Apt 1F
Wynantskill, NY 12198-2924
Phone (315) 404-9517
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
| License | State | Type | Specialty |
|---|---|---|---|
| 30777 | NY | MD | Addiction (Substance Use Disorder) Counselor |
| 007541 | NY | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508803200000",
"number": "1750893202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "128 SHARPE RD APT 1F",
"city": "WYNANTSKILL",
"state": "NY",
"postal_code": "121982924",
"telephone_number": "315-404-9517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 PINE WEST PLZ STE 403",
"city": "ALBANY",
"state": "NY",
"postal_code": "122055515",
"telephone_number": "518-691-0732"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEACH",
"first_name": "MARK",
"middle_name": "G",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-10-24",
"last_updated": "2017-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NY",
"license": "30777",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "007541",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albany, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.