Individual provider Active NPI

Martha A Leonard, LPC

  • Professional Counselor
  • Wise, VA
National Provider Identifier
1871263152
Registry record updated Sep 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701010789 Issued in VA
Practice address
106 Spring Ave NE
Wise, VA 24293-7527
Phone
(276) 963-0111
Fax
(276) 963-0005
NPI assigned
Sep 17, 2021
Last updated
Sep 17, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2021

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 0701010789 VA Primary

Addresses

Primary practice location

106 Spring Ave NE
Wise, VA 24293-7527

Mailing address

PO Box 426
Cedar Bluff, VA 24609-0426
Phone (276) 963-0111

Other practice location 1

1113 Cedar Valley Dr
Cedar Bluff, VA 24609-9190
Phone (276) 963-0111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20240110001279 VA Practitioner - Mental Health Counselor 8729439187 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Healing Waters Counseling CenterGroup PAC ID 9931362399, 16 clinicians

Practice addresses (Care Compare)

1113 Cedar Valley Dr
Cedar Bluff, VA 24609-9190
Phone (276) 963-0111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0701010789VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Waters Counseling Center Professional CurrentSince Jan 1, 2024 Accepting new patients

Locations

185 Redwood Ave
Ste 102B
Pennington Gap, VA 24277
Phone (276) 963-0111

169 Suffolk Ave
Ste 1
Richlands, VA 24641
Phone (276) 821-2260

106 Spring Ave NE
Wise, VA 24293
Phone (276) 533-3193

Organizations & group practices 1

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": "1631836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631836800000",
    "number": "1871263152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 426",
            "city": "CEDAR BLUFF",
            "state": "VA",
            "postal_code": "246090426",
            "telephone_number": "276-963-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 SPRING AVE NE",
            "city": "WISE",
            "state": "VA",
            "postal_code": "242937527",
            "telephone_number": "276-963-0111",
            "fax_number": "276-963-0005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1113 Cedar Valley Dr",
            "address_purpose": "LOCATION",
            "city": "Cedar Bluff",
            "state": "VA",
            "postal_code": "246099190",
            "country_code": "US",
            "telephone_number": "276-963-0111",
            "fax_number": "276-963-0005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEONARD",
        "first_name": "MARTHA",
        "middle_name": "A",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-17",
        "last_updated": "2021-09-17",
        "certification_date": "2021-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701010789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wise, VA

Sources for this page

Verify at the official NPI Registry.