Individual provider Active NPI

Dawn Marie Leedie, LPCP

  • Professional Counselor
  • Normal, IL
National Provider Identifier
1881820405
Registry record updated Apr 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180007287 Issued in IL
Practice address
405 Kays Dr
Ste B
Normal, IL 61761-1979
Phone
(309) 862-0064
Fax
(309) 862-1542
NPI assigned
Jun 10, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LISAC-11049 AZ
Professional Counselor 101YP2500X LPC-11604 AZ
Professional Counselor 101YP2500X 180007287 IL Primary

Addresses

Primary practice location

405 Kays Dr
Ste B
Normal, IL 61761-1979

Mailing address

405 Kays Dr
Ste B
Normal, IL 61761-1979
Phone (309) 862-0064

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

LicenseStateTypeSpecialty
LISAC-11049AZMDAddiction (Substance Use Disorder) Counselor
LPC-11604AZMDProfessional Counselor
180007287ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Dawn Leedie, LCPC. P.C. Professional CurrentSince Oct 16, 2022 Accepting new patients
Central Il Psychiatric Associates, Inc PastSince Aug 1, 2000 Accepting new patients

Locations

1100 Beech St
Bldg 10-4
Normal, IL 61761
Phone (309) 434-0517

Organizations & group practices 2

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": "1244592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271030400000",
    "number": "1881820405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 KAYS DR",
            "address_2": "STE B",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617611979",
            "telephone_number": "309-862-0064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 KAYS DR",
            "address_2": "STE B",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617611979",
            "telephone_number": "309-862-0064",
            "fax_number": "309-862-1542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEEDIE",
        "first_name": "DAWN",
        "middle_name": "MARIE",
        "credential": "LPCP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-10",
        "last_updated": "2010-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "LISAC-11049",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-11604",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180007287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Normal, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2010; 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.