Deborah Jean Leahy, R.N., L.M.H.C.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

18501 Murdock Cir Ste 104
Port Charlotte, FL 33948-4002

Phone

(941) 204-9038

NPI assigned

Jan 14, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Locations

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.

• Stillwaters Counseling of SW Florida PLLC

  • Mental Health Counselor
  • Port Charlotte, FL
  • NPI 1376140343
  NPD Authorized official

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

{
    "created_epoch": "1547424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684972800000",
    "number": "1891269866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23291 MOORHEAD AVE",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339542555",
            "telephone_number": "941-204-9038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18501 MURDOCK CIR STE 104",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339484002",
            "telephone_number": "941-204-9038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEAHY",
        "first_name": "DEBORAH",
        "middle_name": "JEAN",
        "credential": "R.N., L.M.H.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-14",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH16569",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenna Lavin, DMD
• Joseph Brady Lawson, D.M.D.
• Michael James Lawson, ARNP
• Sharon M Lazenby, COTA/L
• LC Eyecare Inc
• Yudel Ledea Duenas
• Lee Memorial Health System
• Lee Memorial Health System
• Lee Memorial Health System
• Lee Memorial Health System

• Mental Health Counselor in Port Charlotte, FL
• Providers in Port Charlotte, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.