Individual provider Active NPI

Leigh-Anne Gaumond, LCSWA, LCAS

  • Mental Health Counselor
  • Fayetteville, NC
National Provider Identifier
1841179561
Registry record updated Oct 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LCAS-31058 Issued in NC
Practice address
5511 Ramsey St Ste 201a
Fayetteville, NC 28311-1413
Phone
(910) 212-7634
NPI assigned
Aug 27, 2025
Last updated
Oct 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X P023018 NC
Mental Health Counselor 101YM0800X LCAS-31058 NC Primary

Addresses

Primary practice location

5511 Ramsey St Ste 201a
Fayetteville, NC 28311-1413

Mailing address

1618 Bonforte Blvd Ste B
Pueblo, CO 81001-1676
Phone (910) 212-7634

Other practice location 1

5416 Raeford Rd Ste A
Fayetteville, NC 28304-3157
Phone (910) 212-7634

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
LCAS-31058NCMDMental Health Counselor
P023018NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Free2Bu Therapeutic Services PLLC Mental Health CurrentSince Aug 20, 2025 Accepting new patients

Locations

1618 Bonforte Blvd
Ste B
Pueblo, CO 81001
Phone (704) 777-8858

5416 Raeford Rd
Ste A
Fayetteville, NC 28304
Phone (910) 212-7634

5511 Ramsey St
Ste 201A
Fayetteville, NC 28311
Phone (910) 212-7634

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1756252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760745600000",
    "number": "1841179561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1618 BONFORTE BLVD STE B",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810011676",
            "telephone_number": "910-212-7634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5511 RAMSEY ST STE 201A",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283111413",
            "telephone_number": "910-212-7634"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5416 Raeford Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283043157",
            "country_code": "US",
            "telephone_number": "910-212-7634",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAUMOND",
        "first_name": "LEIGH-ANNE",
        "credential": "LCSWA, LCAS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-27",
        "last_updated": "2025-10-18",
        "certification_date": "2025-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P023018",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "LCAS-31058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2025; 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.