Leap Organization

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

LEAP ORGANIZATION

Doing business as

L.E.A.P Org

Practice address

1860 Wilma Rudolph Blvd
Suite 100
Clarksville, TN 37040-6669

Phone

(931) 378-0500

Fax

(931) 274-0929

NPI assigned

Jul 9, 2012

Organization subpart

No

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

Authorized official

Name

Richard Garrett

Title

Executive Director

Phone

(931) 378-0500

Specialties & licenses 1

Addresses

Other names 1

• L.E.A.P Org Doing business as

Locations

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

{
    "created_epoch": "1341792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380758400000",
    "number": "1912262650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 WILMA RUDOLPH BLVD",
            "address_2": "SUITE 100",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370406669",
            "telephone_number": "931-378-0500",
            "fax_number": "931-274-0929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 WILMA RUDOLPH BLVD",
            "address_2": "SUITE 100",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370406669",
            "telephone_number": "931-378-0500",
            "fax_number": "931-274-0929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEAP ORGANIZATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-09",
        "last_updated": "2013-10-03",
        "status": "A",
        "authorized_official_last_name": "GARRETT",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "931-378-0500"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "L.E.A.P Org",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tuesdae Nichol Lawrence, MMFT
• Jessica Lazos, COTA/L
• Hanna Lazzizzera, PHARMD
• Brandy Ann Leach, PTA
• Makenna Lane Leach
• Jason Leaverton, LPC-MHSP
• Joshua Alan Lecker, D.C.
• Buford Brown Ledbetter Jr., MD
• Aisha Nicole Lee
• Alyssa Lee, MA., BCBA

• Counselor in Clarksville, TN
• Providers in Clarksville, TN by specialty
• Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2013; 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.