Active NPI
J Kevin Leonard, CASAC
- Addiction (Substance Use Disorder) Counselor
- Hauppauge, NY
National Provider Identifier
1871750265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 7169
- Practice address
- BLDG #16 N County Complex
Suffolk Cnty Dept of Health Day Reporting Center
Hauppauge, NY 11788 - Phone
- (631) 853-6281
- Fax
- (631) 853-6254
- NPI assigned
- May 22, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 7169 | NY | Primary |
Addresses
Primary practice location
BLDG #16 N County Complex
Suffolk Cnty Dept of Health Day Reporting Center
Hauppauge, NY 11788
Mailing address
PO Box 6100
BLDG #16 N County Complex Suffolk Cnty Dept of Health
Hauppauge, NY 11788
Phone (631) 853-6281
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7169 | NY | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211414400000",
"number": "1871750265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6100",
"address_2": "BLDG #16 N COUNTY COMPLEX SUFFOLK CNTY DEPT OF HEALTH",
"city": "HAUPPAUGE",
"state": "NY",
"postal_code": "11788",
"telephone_number": "631-853-6281",
"fax_number": "631-853-6254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BLDG #16 N COUNTY COMPLEX",
"address_2": "SUFFOLK CNTY DEPT OF HEALTH DAY REPORTING CENTER",
"city": "HAUPPAUGE",
"state": "NY",
"postal_code": "11788",
"telephone_number": "631-853-6281",
"fax_number": "631-853-6254"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEONARD",
"first_name": "J",
"middle_name": "KEVIN",
"credential": "CASAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-22",
"last_updated": "2008-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NY",
"license": "7169",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hauppauge, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.