Stacy Marie Leichentritt, LMT

Primary specialty

SpecialistTaxonomy code 174400000X

License

MT0012498 Issued in CO

Practice address

42 Wild Cherry Dr
Clyde, NC 28721-7531

Phone

(719) 500-9772

NPI assigned

Mar 22, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1363910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1881936383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 WILD CHERRY DR",
            "city": "CLYDE",
            "state": "NC",
            "postal_code": "287217531",
            "telephone_number": "719-500-9772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 WILD CHERRY DR",
            "city": "CLYDE",
            "state": "NC",
            "postal_code": "287217531",
            "telephone_number": "719-500-9772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEICHENTRITT",
        "first_name": "STACY",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-22",
        "last_updated": "2025-09-11",
        "certification_date": "2020-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CO",
            "license": "MT0012498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Garrett Lagan, LCSW, LCAS
• James Lapkoff, MD
• Alexandria Paige Potratz Lee, AU.D
• Meghan Dianne Lee, PA-C
• Garland Roberts Lehman, O.D.
• Catherine M. Leister, M.ED.-CCC-SLP
• Susan Letourneau, RRT
• Samantha Ariel Levin
• Paul Fredric Levy, MD
• Liberty Corner Enterprises, Inc.

• Specialist in Clyde, NC
• Providers in Clyde, NC by specialty
• Specialist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.