Active NPI
Samantha Leavitt
- Mental Health Counselor
- Kuna, ID
National Provider Identifier
1881264950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LCSW-42074
- Practice address
- 145 E Deer Flat Rd
Kuna, ID 83634-1323 - Phone
- (208) 922-9001
- NPI assigned
- Jun 30, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LMSW-35831 | ID | |
| Mental Health Counselor | 101YM0800X | LCSW-42074 | ID | Primary |
Addresses
Primary practice location
145 E Deer Flat Rd
Kuna, ID 83634-1323
Mailing address
145 E Deer Flat Rd
Kuna, ID 83634-1323
Phone (208) 922-9001
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMSW-35831 | ID | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kuna Counseling Center | Mental Health | Current | Accepting new patients |
Locations
145 E Deer Flat Rd
Kuna, ID 83634
Phone (208) 922-9001
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": "1625011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666051200000",
"number": "1881264950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "145 E DEER FLAT RD",
"city": "KUNA",
"state": "ID",
"postal_code": "836341323",
"telephone_number": "208-922-9001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "145 E DEER FLAT RD",
"city": "KUNA",
"state": "ID",
"postal_code": "836341323",
"telephone_number": "208-922-9001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEAVITT",
"first_name": "SAMANTHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-30",
"last_updated": "2022-10-18",
"certification_date": "2022-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "ID",
"license": "LMSW-35831",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "ID",
"license": "LCSW-42074",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kuna, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.