Active NPI
Christine Michelle Leposa, LPCC
- Mental Health Counselor
- Warren, OH
National Provider Identifier
1851702047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- E.1700092
- Practice address
- 318 Mahoning Ave NW
Warren, OH 44483-4605 - Phone
- (330) 395-9563
- Fax
- (330) 393-5975
- NPI assigned
- May 11, 2014
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | E.1700092 | OH | Primary |
Addresses
Primary practice location
318 Mahoning Ave NW
Warren, OH 44483-4605
Mailing address
318 Mahoning Ave.
Warren, OH 44483
Phone (717) 314-2433
Other practice location 1
415 Neponset Ave
3rd Floor
Dorchester, MA 02122-3168
Phone (857) 217-3700
Other names 1
- Christine Michelle Murdock
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 |
|---|---|---|---|
| E.1700092 | OH | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Bay Mental Health Center, Inc. | Past | Accepting new patients | |
| SB Transitional Sub, LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Brockton, MA
- NPI 1962091173
-
dba South Bay Community Services
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Brockton, MA
- NPI 1023096864
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1851702047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "318 MAHONING AVE.",
"city": "WARREN",
"state": "OH",
"postal_code": "44483",
"telephone_number": "717-314-2433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "318 MAHONING AVE NW",
"city": "WARREN",
"state": "OH",
"postal_code": "444834605",
"telephone_number": "330-395-9563",
"fax_number": "330-393-5975"
}
],
"practiceLocations": [
{
"address_1": "415 Neponset Ave",
"address_2": "3rd Floor",
"address_purpose": "LOCATION",
"city": "Dorchester",
"state": "MA",
"postal_code": "021223168",
"country_code": "US",
"telephone_number": "857-217-3700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEPOSA",
"first_name": "CHRISTINE",
"middle_name": "MICHELLE",
"credential": "LPCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-11",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "E.1700092",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHRISTINE",
"last_name": "MURDOCK",
"middle_name": "MICHELLE",
"credential": "LPCC",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Warren, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.