Individual provider Active NPI

Leigh C. Hause-Alvarado, LMHC, LPC, NCC

  • Mental Health Counselor
  • Clarksburg, MD
National Provider Identifier
1821638636
Registry record updated Jan 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH4485 Issued in FL
Practice address
22031 Broadway Ave # 401-D
Clarksburg, MD 20871-3474
Phone
(813) 476-1224
NPI assigned
Jan 9, 2020
Last updated
Jan 9, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH4485 FL Primary

Addresses

Primary practice location

22031 Broadway Ave # 401-D
Clarksburg, MD 20871-3474

Mailing address

22031 Broadway Ave # 401-D
Clarksburg, MD 20871-3474
Phone (813) 476-1224

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
MH4485FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1578528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578528000000",
    "number": "1821638636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22031 BROADWAY AVE # 401-D",
            "city": "CLARKSBURG",
            "state": "MD",
            "postal_code": "208713474",
            "telephone_number": "813-476-1224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22031 BROADWAY AVE # 401-D",
            "city": "CLARKSBURG",
            "state": "MD",
            "postal_code": "208713474",
            "telephone_number": "813-476-1224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUSE-ALVARADO",
        "first_name": "LEIGH",
        "middle_name": "C.",
        "credential": "LMHC, LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-09",
        "last_updated": "2020-01-09",
        "certification_date": "2020-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH4485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2020; 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.