Individual provider Active NPI

Tony Lee Leavitt, MMHC

  • Counselor
  • Kapaa, HI
National Provider Identifier
1861736217
Registry record updated Nov 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
4-831 Kuhio Hwy Ste 438
Kapaa, HI 96746-1574
Phone
(541) 613-5646
NPI assigned
Nov 23, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 23, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

4-831 Kuhio Hwy Ste 438
Kapaa, HI 96746-1574

Mailing address

4-831 Kuhio Hwy Ste 438
Kapaa, HI 96746-1574
Phone (541) 613-5646

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

NPI Registry JSON

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

{
    "created_epoch": "1353628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353628800000",
    "number": "1861736217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4-831 KUHIO HWY STE 438",
            "city": "KAPAA",
            "state": "HI",
            "postal_code": "967461574",
            "telephone_number": "541-613-5646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4-831 KUHIO HWY STE 438",
            "city": "KAPAA",
            "state": "HI",
            "postal_code": "967461574",
            "telephone_number": "541-613-5646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEAVITT",
        "first_name": "TONY",
        "middle_name": "LEE",
        "credential": "MMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-11-23",
        "last_updated": "2012-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kapaa, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 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.