Anne M Leaver, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

CC2603 Issued in ME

Practice address

50 Boynton St
Eastport, ME 04631-1204

Phone

(207) 853-6001

NPI assigned

Mar 23, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624924800000",
    "number": "1891812772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 PLEASANT ST",
            "city": "EASTPORT",
            "state": "ME",
            "postal_code": "046311631",
            "telephone_number": "207-217-8620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 BOYNTON ST",
            "city": "EASTPORT",
            "state": "ME",
            "postal_code": "046311204",
            "telephone_number": "207-853-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEAVER",
        "first_name": "ANNE",
        "middle_name": "M",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-23",
        "last_updated": "2021-06-29",
        "certification_date": "2021-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ME",
            "license": "LC4313",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ME",
            "license": "CC2603",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "404560099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eastport Memorial Hospital
• Eastport School Department
• Abhay Arun Ektare
• Kendall Community Case Management Agency
• Pamela J. Koenig, MSN, CRNP
• Katherine M Marks Cook, LCSW LADC
• Terri Mumme, MSN, APRN, FNP-C
• Ann E. O'Brien, APNP
• Ihezie S Obi, PHARMD
• Steve Parker, PA

• Professional Counselor in Eastport, ME
• Providers in Eastport, ME by specialty
• Professional Counselor in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2021; 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.