Active NPI
Steve J. Leatherwood, MA, LPC, NBCC
- Professional Counselor
- Shelby, NC
National Provider Identifier
1790925675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 448
- Practice address
- 1235 Fallston Rd
Shelby, NC 28150-3457 - Phone
- (704) 481-1332
- Fax
- (704) 481-1373
- NPI assigned
- Mar 4, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 448 | NC | Primary |
Addresses
Primary practice location
1235 Fallston Rd
Shelby, NC 28150-3457
Mailing address
1235 Fallston Rd
PO Box 699
Shelby, NC 28150-3457
Phone (704) 481-1332
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 448 | NC | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1236124800000",
"number": "1790925675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1235 FALLSTON RD",
"address_2": "PO BOX 699",
"city": "SHELBY",
"state": "NC",
"postal_code": "281503457",
"telephone_number": "704-481-1332",
"fax_number": "704-481-1373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1235 FALLSTON RD",
"city": "SHELBY",
"state": "NC",
"postal_code": "281503457",
"telephone_number": "704-481-1332",
"fax_number": "704-481-1373"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEATHERWOOD",
"first_name": "STEVE",
"middle_name": "J.",
"name_prefix": "Mr.",
"credential": "MA, LPC, NBCC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-03-04",
"last_updated": "2009-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "448",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shelby, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.