Active NPI
Jenelle Leary, M.ED, LMHCA
- Mental Health Counselor
- Wheatland, WY
National Provider Identifier
1902634413
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MC61554267
- Practice address
- PO Box 472
Wheatland, WY 82201-0472 - Phone
- (307) 331-7869
- NPI assigned
- Jul 25, 2024
- Last updated
- Jul 25, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 | MC61554267 | WA | Primary |
Addresses
Primary practice location
PO Box 472
Wheatland, WY 82201-0472
Mailing address
38 Exchange St
Rockland, MA 02370-1714
Phone (617) 869-6319
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 Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MC61554267 | WA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721865600000",
"number": "1902634413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38 EXCHANGE ST",
"city": "ROCKLAND",
"state": "MA",
"postal_code": "023701714",
"telephone_number": "617-869-6319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PO BOX 472",
"city": "WHEATLAND",
"state": "WY",
"postal_code": "822010472",
"telephone_number": "307-331-7869"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEARY",
"first_name": "JENELLE",
"credential": "M.ED, LMHCA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-07-25",
"last_updated": "2024-07-25",
"certification_date": "2024-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "MC61554267",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wheatland, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.