Gina Leiss

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CO61099384 Issued in WA

Practice address

19351 8TH Ave NE Ste 141
Poulsbo, WA 98370-7087

Phone

(360) 876-9430

NPI assigned

Sep 23, 2021

Sex

Female

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": "1632355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632787200000",
    "number": "1770254252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21471 HOWARD AVE NE",
            "city": "KINGSTON",
            "state": "WA",
            "postal_code": "983469104",
            "telephone_number": "806-567-5364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19351 8TH AVE NE STE 141",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983707087",
            "telephone_number": "360-876-9430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEISS",
        "first_name": "GINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-23",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CO61099384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chiayun Janice Lee, L.AC.
• Kyleen Lei Ming Lee, L.AC.
• Andrea Legge, M.D.
• Peter Michael Lehmann, MD
• Mary B Lehtinen, MD
• Karen Schwager Leitz
• Kristi Noel Leksen, MA, LMHC
• Traci J Lemmon
• Julie Leslie, ATC
• Dianne R. Levisohn, MD

• Addiction (Substance Use Disorder) Counselor in Poulsbo, WA
• Providers in Poulsbo, WA by specialty
• Addiction (Substance Use Disorder) Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.