Active NPI
Toby Rudenick Leblanc, M.A., LPC
- Professional Counselor
- Austin, TX
National Provider Identifier
1841421856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 61955
- Practice address
- 100 W Dean Keeton St FL 5
Austin, TX 78712-1091 - Phone
- (512) 471-3515
- NPI assigned
- Aug 7, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 61955 | TX | |
| Mental Health Counselor | 101YM0800X | 61955 | TX | |
| Professional Counselor | 101YP2500X | 61955 | TX | Primary |
Addresses
Primary practice location
100 W Dean Keeton St FL 5
Austin, TX 78712-1091
Mailing address
100 W Dean Keeton St FL 5
Austin, TX 78712-1091
Phone (512) 471-3515
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61955 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612137600000",
"number": "1841421856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 W DEAN KEETON ST FL 5",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787121091",
"telephone_number": "512-471-3515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 W DEAN KEETON ST FL 5",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787121091",
"telephone_number": "512-471-3515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEBLANC",
"first_name": "TOBY",
"middle_name": "RUDENICK",
"credential": "M.A., LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-08-07",
"last_updated": "2021-02-01",
"certification_date": "2021-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "TX",
"license": "61955",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "61955",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "61955",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.