Leah Boe, LADC, MFT INTERN

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MI 0306 Issued in NV

Practice address

333 Marsh Ave
Suite 1-I
Reno, NV 89509-1611

Phone

(775) 827-4454

Fax

(775) 827-1701

NPI assigned

Nov 14, 2007

Last updated

May 2, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Great Basin Counseling Services, Inc.

  • Addiction (Substance Use Disorder) Counselor
  • Reno, NV
  • NPI 1063607711
  NPD (past) Authorized official

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

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335916800000",
    "number": "1851572259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3076",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895053076",
            "telephone_number": "775-827-4454",
            "fax_number": "775-827-1701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 MARSH AVE",
            "address_2": "SUITE 1-I",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895091611",
            "telephone_number": "775-827-4454",
            "fax_number": "775-827-1701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOE",
        "first_name": "LEAH",
        "name_prefix": "Ms.",
        "credential": "LADC, MFT INTERN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-14",
        "last_updated": "2012-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NV",
            "license": "00393-L",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": "MI 0306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine A Bodner, P.T
• Christopher Bodner
• Body Wisdom Physical Therapy
• Body Wisdom Physical Therapy
• Amanda Jo Boe
• McKenna Boegle
• Noah Boekweg
• Shannon Marie Boelow
• Richard Neil Boersig, LCSW
• Jessica Boesen

• Marriage & Family Therapist in Reno, NV
• Providers in Reno, NV by specialty
• Marriage & Family Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2012; 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.