New Leaf Mental Wellness PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

NEW LEAF MENTAL WELLNESS PLLC

Practice address

12139 Glenwood Rd SW
Port Orchard, WA 98367-7756

Phone

(360) 769-3639

NPI assigned

Apr 14, 2020

Organization subpart

No

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

Authorized official

Name

Michele Mayer, LMFT

Title

Owner

Phone

(360) 434-4783

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1586822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586822400000",
    "number": "1780203265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12139 GLENWOOD RD SW",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983677756",
            "telephone_number": "360-769-3639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12139 GLENWOOD RD SW",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983677756",
            "telephone_number": "360-769-3639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LEAF MENTAL WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-14",
        "last_updated": "2020-04-14",
        "certification_date": "2020-04-14",
        "status": "A",
        "authorized_official_last_name": "MAYER",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-434-4783",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maribel Cortez Neanover, CO61304505
• Madeline Kay Nelson, PHD
• Adaira Angeli Neris Fonseca
• Katelyn Neufeld, NP
• Jamie L Nevins, LMT
• Abigail Elizabeth Newcombe, LMT
• Jennifer Ann Newcomer, DPT
• Annastacia Nganga
• Niazi & Sharaki PLLC
• Yvette Jonquil Nichols, RN

• Mental Health Counselor in Port Orchard, WA
• Providers in Port Orchard, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2020; 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.