Leah Subalusky Madamba, MS, NCC, LCMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

4354 Issued in NC

Practice address

500 Winding Gap Rd
Lake Toxaway, NC 28747-8786

Phone

(828) 885-5920

NPI assigned

Nov 15, 2021

Last updated

Nov 15, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Trails Carolina LLC

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Lake Toxaway, NC
  • NPI 1831501675
  NPD (past)

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

{
    "created_epoch": "1636934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636934400000",
    "number": "1871259762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "178 BEVERLY RD",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288052436",
            "telephone_number": "828-243-0910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 WINDING GAP RD",
            "city": "LAKE TOXAWAY",
            "state": "NC",
            "postal_code": "287478786",
            "telephone_number": "828-885-5920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADAMBA",
        "first_name": "LEAH",
        "middle_name": "SUBALUSKY",
        "credential": "MS, NCC, LCMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-15",
        "last_updated": "2021-11-15",
        "certification_date": "2021-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "4354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Todd Green
• Jeffrey Scott Jackson
• Sarah James, MA, LCMHC, LCAS
• Jeffrey Scott Jackson (Toxaway Pharmacy)
• Carla Rebecca Kimmel, FNP-C
• Justin Messinger, LCMHC
• William Noran, MD
• Mary Shalene Pierce, MSW, LCSW
• Julia 8288855920 Ruff
• Trails Carolina LLC

• Mental Health Counselor in Lake Toxaway, NC
• Providers in Lake Toxaway, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.