Active NPI
L C Leblanc, MA CCHP RC
- Mental Health Counselor
- Shelton, WA
National Provider Identifier
1902084544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- RC00055728
- Practice address
- 627 W Franklin St
Shelton, WA 98548 - Phone
- (360) 462-3320
- Fax
- (360) 350-4218
- NPI assigned
- Feb 6, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | RC00055728 | WA | Primary |
Addresses
Primary practice location
627 W Franklin St
Shelton, WA 98548
Mailing address
627 W Franklin St
Shelton, WA 98548
Phone (360) 462-3320
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RC00055728 | Other | WA | DEPT OF HEALTH |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RC00055728 | WA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202256000000",
"number": "1902084544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "627 W FRANKLIN ST",
"city": "SHELTON",
"state": "WA",
"postal_code": "98548",
"telephone_number": "360-462-3320",
"fax_number": "360-350-4218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "627 W FRANKLIN ST",
"city": "SHELTON",
"state": "WA",
"postal_code": "98548",
"telephone_number": "360-462-3320",
"fax_number": "360-350-4218"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEBLANC",
"first_name": "L",
"middle_name": "C",
"name_prefix": "Mr.",
"credential": "MA CCHP RC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-02-06",
"last_updated": "2008-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "RC00055728",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT OF HEALTH",
"identifier": "RC00055728",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Shelton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.