Individual provider Active NPI

Grace Kelly Leon, LPC, CRC

  • Professional Counselor
  • Chandler, AZ
National Provider Identifier
1801681473
Registry record updated Jun 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-23767 Issued in AZ
Practice address
1405 N Dobson Rd Ste 1
Chandler, AZ 85224-8594
Phone
(480) 771-3530
NPI assigned
Apr 14, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC-23767 AZ Primary

Addresses

Primary practice location

1405 N Dobson Rd Ste 1
Chandler, AZ 85224-8594

Mailing address

1405 N Dobson Rd Ste 1
Chandler, AZ 85224-8594
Phone (480) 771-3530

Other practice location 1

1658 N Ridge Cir
Mesa, AZ 85203-2873
Phone (317) 771-6157

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250609003246 AZ Practitioner - Mental Health Counselor 1951811942 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mountain Park Health CenterGroup PAC ID 8325949647, 117 clinicians

Practice addresses (Care Compare)

1405 N Dobson Rd
Suite 1
Chandler, AZ 85224-8594
Phone (480) 771-3530

635 E Baseline Rd
Phoenix, AZ 85042-6551
Phone (602) 243-7277

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC-23767AZMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Community Bridges, Inc. Current Accepting new patients
Community Bridges, Inc Current Accepting new patients
Community Bridges, Inc. Current Accepting new patients
Mountain Park Health Center CurrentSince Aug 11, 2025 Accepting new patients
Graceful Counseling PLLC CurrentSince Aug 5, 2025 Accepting new patients
Community Bridges, Inc. CurrentSince Apr 1, 2025 Accepting new patients
Community Bridges, Inc. CurrentSince Apr 1, 2025 Accepting new patients
Mountain Park Health Center CurrentSince Aug 11, 2025 Accepting new patients

Locations

1405 N Dobson Rd
Ste 1
Chandler, AZ 85224
Phone (480) 213-6502

1855 W Baseline Rd
Ste 101
Mesa, AZ 85202

460 N Mesa Dr
Ste 201
Mesa, AZ 85201
Phone (480) 838-5550

635 E Baseline Rd
Phoenix, AZ 85042

2770 E Van Buren St
Rm Abd
Phoenix, AZ 85008
Phone (602) 273-9999

3003 N Central Ave
Ste 1600
Phoenix, AZ 85012
Phone (602) 323-3492

250 S Toole Ave
Ste A
Tucson, AZ 85701
Phone (520) 323-1312

3180 E 40th St
Yuma, AZ 85365
Phone (928) 341-0335

Interoperability endpoints

  • Direct secure messaging: grace.leonbhtlac.p1@direct.cbridges.nextgenshare.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1744588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751068800000",
    "number": "1801681473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 N DOBSON RD STE 1",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852248594",
            "telephone_number": "480-771-3530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 N DOBSON RD STE 1",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852248594",
            "telephone_number": "480-771-3530"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1658 N Ridge Cir",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852032873",
            "country_code": "US",
            "telephone_number": "317-771-6157",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEON",
        "first_name": "GRACE",
        "middle_name": "KELLY",
        "name_prefix": "Mrs.",
        "credential": "LPC, CRC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-14",
        "last_updated": "2025-06-28",
        "certification_date": "2025-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-23767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.