Individual provider Active NPI

Leigh Ann Ford, PHD

  • Prescribing (Medical) Psychologist
  • Pikeville, KY
National Provider Identifier
1891086427
Registry record updated Mar 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prescribing (Medical) PsychologistTaxonomy code 103TP0016X
License
329821 Issued in LA
Practice address
126 Walnut St
Pikeville, KY 41501-1605
Phone
(859) 338-8024
Fax
(606) 437-0187
NPI assigned
Apr 30, 2011
Last updated
Mar 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 1479 KY
Psychologist 103T00000X 129660 KY
Prescribing (Medical) Psychologist 103TP0016X 329821 LA Primary

Addresses

Primary practice location

126 Walnut St
Pikeville, KY 41501-1605

Mailing address

PO Box 3791
Pikeville, KY 41502-3791
Phone (859) 338-8024

Other practice location 1

6522 W Main St
Houma, LA 70360-2267
Phone (985) 804-1521

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address leigh.ford.p1@direct.pmc.nextgenshare.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20120816000819 KY Practitioner - Clinical Psychologist 7618123183 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
129660KYMDPsychologist
1479KYMDPsychologist
329821LAMDPrescribing (Medical) Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Wildflower Behavioral Health PLLC Current Accepting new patients
Ford Mental Health Services PLLC Psychologist Current Accepting new patients
Medoptions of Kentucky LLC CurrentSince Apr 27, 2020 Accepting new patients
Commonwealth Psychological Services PLLC Past Accepting new patients
J & J Diagnostics Past Accepting new patients
Stephany L. Hillman, PH.D., LLC Prescribing (Medical) PastSince Jan 1, 2018 Accepting new patients
Sarah Larke Brooke LCSW, LLC PastSince Apr 1, 2023 Accepting new patients

Locations

1595 S US Highway 231
Beaver Dam, KY 42320
Phone (270) 274-4477

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1304121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678752000000",
    "number": "1891086427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3791",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415023791",
            "telephone_number": "859-338-8024",
            "fax_number": "606-437-0187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 WALNUT ST",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415011605",
            "telephone_number": "859-338-8024",
            "fax_number": "606-437-0187"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6522 W Main St",
            "address_purpose": "LOCATION",
            "city": "Houma",
            "state": "LA",
            "postal_code": "703602267",
            "country_code": "US",
            "telephone_number": "985-804-1521",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORD",
        "first_name": "LEIGH",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-30",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "KY",
            "license": "1479",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "KY",
            "license": "129660",
            "primary": false
        },
        {
            "code": "103TP0016X",
            "taxonomy_group": "",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": "LA",
            "license": "329821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "leigh.ford.p1@direct.pmc.nextgenshare.com",
            "affiliation": "N",
            "endpointDescription": "direct address for ccda",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "standard direct functionality",
            "address_1": "131 Summit Dr Fl 3",
            "city": "Pikeville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "415011580",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pikeville, KY

Sources for this page

Verify at the official NPI Registry.