Individual provider Active NPI

Jessica Leeb, LMHC

  • Mental Health Counselor
  • Hicksville, NY
National Provider Identifier
1811401342
Registry record updated Dec 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
008806 Issued in NY
Practice address
950 S Oyster Bay Rd
Hicksville, NY 11801-3510
Phone
(516) 822-6111
NPI assigned
Nov 20, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Mental Health Counselor 101YM0800X 008806 NY Primary

Addresses

Primary practice location

950 S Oyster Bay Rd
Hicksville, NY 11801-3510

Mailing address

42 Oakland St
Huntington, NY 11743-3513

Other practice location 1

181 Main St
Huntington, NY 11743-6918
Phone (631) 600-3069

Other practice location 2

55 W Ames Ct Ste 100
Plainview, NY 11803-2304
Phone (516) 822-6111 ext. 2287

Other practice location 3

368 Veterans Hwy Ste 3
Commack, NY 11725-4322
Phone (631) 533-0315

Other practice location 4

333 Glen Head Rd Ste 204
Glen Head, NY 11545-1947
Phone (631) 533-0315

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

State licenses

LicenseStateTypeSpecialty
008806NYMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1511136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545004800000",
    "number": "1811401342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 OAKLAND ST",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117433513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 S OYSTER BAY RD",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118013510",
            "telephone_number": "516-822-6111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "181 Main St",
            "address_purpose": "LOCATION",
            "city": "Huntington",
            "state": "NY",
            "postal_code": "117436918",
            "country_code": "US",
            "telephone_number": "631-600-3069",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "55 W Ames Ct Ste 100",
            "address_purpose": "LOCATION",
            "city": "Plainview",
            "state": "NY",
            "postal_code": "118032304",
            "country_code": "US",
            "telephone_number": "516-822-6111 x2287",
            "fax_number": "516-938-7097",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "368 Veterans Hwy Ste 3",
            "address_purpose": "LOCATION",
            "city": "Commack",
            "state": "NY",
            "postal_code": "117254322",
            "country_code": "US",
            "telephone_number": "631-533-0315",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "333 Glen Head Rd Ste 204",
            "address_purpose": "LOCATION",
            "city": "Glen Head",
            "state": "NY",
            "postal_code": "115451947",
            "country_code": "US",
            "telephone_number": "631-533-0315",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEEB",
        "first_name": "JESSICA",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-20",
        "last_updated": "2018-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "008806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hicksville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2018; 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.