Leon Boyetta Givens

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LF60350063 Issued in WA

Practice address

533 S Juniper Dr
Moses Lake, WA 98837-1848

Phone

(509) 771-1178

NPI assigned

Oct 17, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1665964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665964800000",
    "number": "1790401370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "533 S JUNIPER DR",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988371848",
            "telephone_number": "509-771-1178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "533 S JUNIPER DR",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988371848",
            "telephone_number": "509-771-1178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIVENS",
        "first_name": "LEON",
        "middle_name": "BOYETTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-10-17",
        "last_updated": "2022-10-17",
        "certification_date": "2022-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": "LF60350063",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "LF60350063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heidi Jo Gephart, EDM
• Corie Danielle Gere, RN
• Azadeh Ghassemi, MD
• Brandon Ghoreishi, BA
• Alex Giannakopoulos, PHARMD
• Aaron Glenn, BA
• Cecilia Hernandez Godinez, LMHCA
• Fermin Steven Godinez, DO
• Dannielle Goll
• Calle A Gonzales, M.D.

• Marriage & Family Therapist in Moses Lake, WA
• Providers in Moses Lake, WA by specialty
• Marriage & Family Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2022; 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.