Individual provider Active NPI

Leigh Marendra Marshall, LPC, CADC 1

  • Professional Counselor
  • Minot, ND
National Provider Identifier
1922143387
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
862-1-15-16-257 Issued in ND
Practice address
801 21St Ave SE
Minot, ND 58701-6064
Phone
(701) 838-3033
NPI assigned
Feb 21, 2007
Last updated
Aug 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 862-1-15-16-257 ND Primary

Addresses

Primary practice location

801 21St Ave SE
Minot, ND 58701-6064

Mailing address

PO Box 5074
Sioux Falls, SD 57117-5074
Phone (701) 838-3033

Other practice location 1

1900-8th Ave. S.E.
Minot, ND 58701-4935
Phone (701) 857-5998

Other practice location 2

1500 21st Ave NW Ste 101
Minot, ND 58703-0866
Phone (701) 418-4300

Other names 1

  • Leigh M Szczur Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lmarshall14749393@direct.sanfordhealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND
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

Enrollment IDStateProvider typePAC IDDetails
I20240322001479 ND Practitioner - Mental Health Counselor 1052758398 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sanford BismarckGroup PAC ID 9739098575, 562 clinicians

Practice addresses (Care Compare)

3318 N 14TH St
Bismarck, ND 58503-1614
Phone (701) 323-8300

801 21St Ave SE
Minot, ND 58701-6064
Phone (701) 838-3150

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Bismarck CurrentSince Feb 7, 2024 Accepting new patients
Sanford Bismarck CurrentSince Feb 7, 2024 Accepting new patients

Locations

3318 N 14th St
Bismarck, ND 58503
Phone (701) 323-8300

801 21st Ave SE
Minot, ND 58701
Phone (701) 838-3033

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1922143387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5074",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571175074",
            "telephone_number": "701-838-3033",
            "fax_number": "701-857-5031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 21ST AVE SE",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587016064",
            "telephone_number": "701-838-3033"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1900-8th Ave. S.E.",
            "address_purpose": "LOCATION",
            "city": "Minot",
            "state": "ND",
            "postal_code": "587014935",
            "country_code": "US",
            "telephone_number": "701-857-5998",
            "fax_number": "701-857-5022",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 21st Ave NW Ste 101",
            "address_purpose": "LOCATION",
            "city": "Minot",
            "state": "ND",
            "postal_code": "587030866",
            "country_code": "US",
            "telephone_number": "701-418-4300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "LEIGH",
        "middle_name": "MARENDRA",
        "credential": "LPC, CADC 1",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ND",
            "license": "862-1-15-16-257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lmarshall14749393@direct.sanfordhealth.org",
            "affiliation": "N",
            "address_1": "1500 21st Ave NW Ste 101",
            "city": "Minot",
            "state": "ND",
            "country_code": "US",
            "postal_code": "587030866",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LEIGH",
            "last_name": "SZCZUR",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Minot, ND

Sources for this page

Verify at the official NPI Registry.