Individual provider Active NPI

Leah Garrison

  • Mental Health Counselor
  • Sun Prairie, WI
National Provider Identifier
1871283085
Registry record updated May 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
5472-226 Issued in WI
Practice address
1299 Prospect CMNS Apt 108
Sun Prairie, WI 53590-7023
Phone
(608) 322-5717
NPI assigned
May 10, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 5472-226 WI Primary

Addresses

Primary practice location

1299 Prospect CMNS Apt 108
Sun Prairie, WI 53590-7023

Mailing address

1268 W Main St
Sun Prairie, WI 53590-1930

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20240826000276 WI Practitioner - Mental Health Counselor 4183163900 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Group practices
Healing Hearts Family Counseling Center LLCGroup PAC ID 8527280353, 2 clinicians

Practice addresses (Care Compare)

1268 W Main St
Suite 2
Sun Prairie, WI 53590-1930
Phone (608) 834-1122

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5472-226WIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Hearts Family Counseling Center, LLC CurrentSince Jul 30, 2024 Accepting new patients

Locations

1268 W Main St
Sun Prairie, WI 53590
Phone (608) 834-1122

1268 W Main St
#2
Sun Prairie, WI 53590
Phone (608) 834-1122

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1683676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683676800000",
    "number": "1871283085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1268 W MAIN ST",
            "city": "SUN PRAIRIE",
            "state": "WI",
            "postal_code": "535901930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1299 PROSPECT CMNS APT 108",
            "city": "SUN PRAIRIE",
            "state": "WI",
            "postal_code": "535907023",
            "telephone_number": "608-322-5717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRISON",
        "first_name": "LEAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-10",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "5472-226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun Prairie, WI

Sources for this page

Verify at the official NPI Registry.