Individual provider Active NPI

Linnea Suzanne Lei, ED.D.

  • Counseling Psychologist
  • Flagstaff, AZ
National Provider Identifier
1821036344
Registry record updated Mar 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
3020 Issued in AZ
Practice address
416 N Kendrick St
Suite 4
Flagstaff, AZ 86001-1598
Phone
(928) 774-9123
NPI assigned
Jun 4, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 3020 AZ Primary

Addresses

Primary practice location

416 N Kendrick St
Suite 4
Flagstaff, AZ 86001-1598

Mailing address

809 W Riordan Rd
Suite 100, #326
Flagstaff, AZ 86001-0807

Other identifiers 1

IdentifierTypeStateIssuer
0606240OtherAZPSYCHOLOGIST

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Oct 1, 2012 through Oct 1, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3020AZMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Stanley B. Caire, D.C., P.C. Past Accepting new patients
Summit Chiropractic & Rehabilitation Inc PastSince Apr 3, 2013 Accepting new patients

Organizations & group practices 2

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": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204761600000",
    "number": "1821036344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 W RIORDAN RD",
            "address_2": "SUITE 100, #326",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860010807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 N KENDRICK ST",
            "address_2": "SUITE 4",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860011598",
            "telephone_number": "928-774-9123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEI",
        "first_name": "LINNEA",
        "middle_name": "SUZANNE",
        "name_prefix": "Dr.",
        "credential": "ED.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-04",
        "last_updated": "2008-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "AZ",
            "license": "3020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHOLOGIST",
            "identifier": "0606240",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flagstaff, AZ

Sources for this page

Verify at the official NPI Registry.