Active NPI
Pamela Anne Leach, LCPC
- Professional Counselor
- Bozeman, MT
National Provider Identifier
1831106947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 1260
- Practice address
- 205 Haggerty Lane, Suite 295
New Territory Counseling and Consultation, LLC
Bozeman, MT 59715 - Phone
- (406) 522-1132
- Fax
- (406) 430-4117
- NPI assigned
- Aug 2, 2006
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 1260 | MT | Primary |
Addresses
Primary practice location
205 Haggerty Lane, Suite 295
New Territory Counseling and Consultation, LLC
Bozeman, MT 59715
Mailing address
205 Haggerty Lane, Suite 295
New Territory Counseling and Consultation, LLC
Bozeman, MT 59715
Phone (406) 522-1132
Other names 1
- Pamela Anne Leach-Graber
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 |
|---|---|---|---|
| 1260 | MT | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423440000000",
"number": "1831106947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 HAGGERTY LANE, SUITE 295",
"address_2": "NEW TERRITORY COUNSELING AND CONSULTATION, LLC",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "59715",
"telephone_number": "406-522-1132",
"fax_number": "406-430-4117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 HAGGERTY LANE, SUITE 295",
"address_2": "NEW TERRITORY COUNSELING AND CONSULTATION, LLC",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "59715",
"telephone_number": "406-522-1132",
"fax_number": "406-430-4117"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEACH",
"first_name": "PAMELA",
"middle_name": "ANNE",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-02",
"last_updated": "2015-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MT",
"license": "1260",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PAMELA",
"last_name": "LEACH-GRABER",
"middle_name": "ANNE",
"credential": "LCPC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Bozeman, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.