Tia Burns Leabu, MHP

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

1016 S Madison St
Du Quoin, IL 62832-2442

Phone

(618) 542-4357

Fax

(618) 542-3442

NPI assigned

Sep 18, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1568764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1922658384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 S MADISON ST",
            "city": "DU QUOIN",
            "state": "IL",
            "postal_code": "628322442",
            "telephone_number": "618-542-4357",
            "fax_number": "618-542-3442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 S MADISON ST",
            "city": "DU QUOIN",
            "state": "IL",
            "postal_code": "628322442",
            "telephone_number": "618-542-4357",
            "fax_number": "618-542-3442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEABU",
        "first_name": "TIA",
        "middle_name": "BURNS",
        "credential": "MHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-18",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tia.burns@sibs-pccc.com",
            "affiliation": "Y",
            "endpointDescription": "work email",
            "affiliationName": "Perry County Counseling Center Inc",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "work email",
            "address_1": "1016 S Madison St",
            "city": "Du Quoin",
            "state": "IL",
            "country_code": "US",
            "postal_code": "628322442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alisha Kosma
• Carmen Krejci, MD
• Farrah Kremer
• Katherine Laird, NP
• Vaness Lawrence, MHP
• Casey Marie Lindner, LPN
• Rebecca Loucks, RN
• Isaac Edwin Lowe, MD
• Dawne Malinski, LPN
• Shaheda M Mansuri, MD

• Counselor in Du Quoin, IL
• Providers in Du Quoin, IL by specialty
• Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.