Active NPI
Leona Desmoulin
- Addiction (Substance Use Disorder) Counselor
- Flushing, NY
National Provider Identifier
1821695651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 35717
- Practice address
- Flushing Hospital Medical Center
4500 Parsons Blvd.
Flushing, NY 11355 - Phone
- (718) 670-4416
- NPI assigned
- Oct 5, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 35717 | NY | Primary |
Addresses
Primary practice location
Flushing Hospital Medical Center
4500 Parsons Blvd.
Flushing, NY 11355
Mailing address
Flushing Hospital Medical Center
4500 Parsons Blvd.
Flushing, NY 11355
Phone (718) 670-4416
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00243843 | Medicaid | NY |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 35717 | NY | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601856000000",
"number": "1821695651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "FLUSHING HOSPITAL MEDICAL CENTER",
"address_2": "4500 PARSONS BLVD.",
"city": "FLUSHING",
"state": "NY",
"postal_code": "11355",
"telephone_number": "718-670-4416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "FLUSHING HOSPITAL MEDICAL CENTER",
"address_2": "4500 PARSONS BLVD.",
"city": "FLUSHING",
"state": "NY",
"postal_code": "11355",
"telephone_number": "718-670-4416"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESMOULIN",
"first_name": "LEONA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-05",
"last_updated": "2020-10-05",
"certification_date": "2020-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NY",
"license": "35717",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00243843",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.