NPIMap

Organization Active NPI

Leeker Enterprises Inc

Doing business as Reflections Counsulting

  • Clinical Social Worker
  • Kennett, MO
National Provider Identifier
1932506524
Registry record updated Oct 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
LEEKER ENTERPRISES INC
Doing business as
Reflections Counsulting
Practice address
607 Teaco Road
Kennett, MO 63857-3423
Phone
(573) 888-9828
Fax
(844) 270-0885
NPI assigned
Nov 25, 2014
Last updated
Oct 18, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2019

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

Authorized official

Name
Mrs. Tiffany Ann Leeker, MSSW, LCSW
Title
Owner
Phone
(573) 888-9828

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2010018756 MO
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

607 Teaco Road
Kennett, MO 63857-3423

Mailing address

607 Teaco Road
Kennett, MO 63857-3423
Phone (573) 888-9828

Other identifiers 1

IdentifierTypeStateIssuer
500031933MedicaidMO

Other names 1

  • Reflections Counsulting Doing business as

National Provider Directory

National Provider Directory

Locations

607 Teaco Rd
Kennett, MO 63857
Phone (573) 888-9828

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1416873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571356800000",
    "number": "1932506524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 TEACO ROAD",
            "city": "KENNETT",
            "state": "MO",
            "postal_code": "638573423",
            "telephone_number": "573-888-9828",
            "fax_number": "844-270-0885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 TEACO ROAD",
            "city": "KENNETT",
            "state": "MO",
            "postal_code": "638573423",
            "telephone_number": "573-888-9828",
            "fax_number": "844-270-0885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEEKER ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-25",
        "last_updated": "2019-10-18",
        "status": "A",
        "authorized_official_last_name": "LEEKER",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-888-9828",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2010018756",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500031933",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reflections Counsulting",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kennett, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2019; 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.