Dewayne Leakes

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

735 W 61St St
Chicago, IL 60621-2855

Phone

(773) 332-8381

NPI assigned

Jun 22, 2021

Sex

Male

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

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

{
    "created_epoch": "1624320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624320000000",
    "number": "1851960959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 W 61ST ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606212855",
            "telephone_number": "773-332-8381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 W 61ST ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606212855",
            "telephone_number": "773-332-8381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEAKES",
        "first_name": "DEWAYNE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-22",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Leahy, DPM
• Nicholas Kemp Leahy
• Nicole M Leahy, PA-C
• Olga Leahy, DDS
• Angel Demetress Leake, M.D.
• Efrain Leal
• Jordan Elizabeth Cahill Leamy, BCBA
• Yonatam Moshe Lean
• Russell Leander
• Lakhena Lafleur Leang, MD

• Mental Health Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.

Verify at the official NPI Registry.