Leigh Witzling, R-DMT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

097.0134440 Issued in VT

Practice address

258 Greenfield Rd
Montague, MA 01351-9515

Phone

(314) 435-5682

NPI assigned

Jan 14, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Kelsey Leigh Witzling Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1610582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610582400000",
    "number": "1851980767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "258 GREENFIELD RD",
            "city": "MONTAGUE",
            "state": "MA",
            "postal_code": "013519515",
            "telephone_number": "314-435-5682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "258 GREENFIELD RD",
            "city": "MONTAGUE",
            "state": "MA",
            "postal_code": "013519515",
            "telephone_number": "314-435-5682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITZLING",
        "first_name": "LEIGH",
        "credential": "R-DMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-14",
        "last_updated": "2021-01-14",
        "certification_date": "2021-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225600000X",
            "taxonomy_group": "",
            "desc": "Dance Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "097.0134440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELSEY",
            "last_name": "WITZLING",
            "middle_name": "LEIGH",
            "credential": "R-DMT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kathy A Schermerhorn, LIC. AC.
• Jasmine Louise Smith, CCC-SLP
• Suzanne Webber
• Darcy Weller, O.T.R./L
• Kristi Marie Williams, RN

• All providers in Montague, MA
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.