Individual provider Active NPI

Leanne Staylor

  • Professional Counselor
  • Fulton, MD
National Provider Identifier
1861377855
Registry record updated Aug 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
12350 Hall Shop Rd
Fulton, MD 20759-9774
Phone
(443) 267-6038
NPI assigned
Aug 8, 2025
Last updated
Aug 8, 2025By the provider in NPPES
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

12350 Hall Shop Rd
Fulton, MD 20759-9774

Mailing address

12350 Hall Shop Rd
Fulton, MD 20759-9774

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251111000817 MD Practitioner - Mental Health Counselor 1153812847 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2008
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Suite 1278
Lincolnton, NC 28093

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Centrepointe Counseling, Inc. CurrentSince Aug 1, 2025 Accepting new patients
Centrepointe Counseling, Inc. PastSince Aug 10, 2025 Accepting new patients

Locations

17826 New Hampshire Ave
Ashton, MD 20861
Phone (800) 491-5639

8200 Old Columbia Rd
Fulton, MD 20759

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1754611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754611200000",
    "number": "1861377855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12350 HALL SHOP RD",
            "city": "FULTON",
            "state": "MD",
            "postal_code": "207599774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12350 HALL SHOP RD",
            "city": "FULTON",
            "state": "MD",
            "postal_code": "207599774",
            "telephone_number": "443-267-6038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAYLOR",
        "first_name": "LEANNE",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-08-08",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fulton, MD

Sources for this page

Verify at the official NPI Registry.