Jon Curtis Leyse, LMHCA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

88001227A Issued in IN

Practice address

8211 W Jefferson Blvd RM 300
Fort Wayne, IN 46804-4796

Phone

(877) 594-9204

NPI assigned

Sep 8, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

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

Specialty

Mental Health Counselor

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Renovate Counseling Services LLCGroup PAC ID 6103246376, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Renovate Counseling Services LLC

  • Mental Health Counselor
  • Bluffton, IN
  • NPI 1689135279
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1662595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662595200000",
    "number": "1912628702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 SOUTH ST",
            "city": "MONROE",
            "state": "IN",
            "postal_code": "467729361",
            "telephone_number": "260-223-5927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8211 W JEFFERSON BLVD RM 300",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468044796",
            "telephone_number": "877-594-9204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEYSE",
        "first_name": "JON",
        "middle_name": "CURTIS",
        "credential": "LMHCA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-08",
        "last_updated": "2022-09-08",
        "certification_date": "2022-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "88001227A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan Brooke Lewis, PHARMD
• Nancy Sue Lewis, M.A., CCC-A
• Nicole Sue Lewis, BA
• Diane Lewton, N.P.
• Brittney Nicole Ley
• Jie Li, DDS
• Steven Li, DO
• Tai Wai David Li, MD
• Larry Lee Libbee, CO
• Layken Lichtensteiger, PA-C

• Mental Health Counselor in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Mental Health Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.