Individual provider Active NPI

Leisa Watkins, LMFT

  • Marriage & Family Therapist
  • Indianapolis, IN
National Provider Identifier
1932636925
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT-7510 Issued in ID
Practice address
12011 Emory Dr
Indianapolis, IN 46229-9737
Phone
(208) 552-4831
NPI assigned
May 22, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X LMFT-7510 ID Primary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X 35002409A IN

Addresses

Primary practice location

12011 Emory Dr
Indianapolis, IN 46229-9737

Mailing address

12011 Emory Dr
Indianapolis, IN 46229-9737
Phone (208) 552-4831

Other practice location 1

PO Box 297
Lewisville, ID 83431-0297
Phone (208) 552-4831

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240102003676 ID Practitioner - Marriage and Family Therapist 4284084385 Reassigns benefits to 2 organizations
I20251122001515 IN Practitioner - Marriage and Family Therapist 4284084385 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2009
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Dallas, TX 75373

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LMFT-7510IDMDMarriage & Family Therapist
35002409AINMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sondermind Provider Network LLC Marriage & Family Therapist CurrentSince Oct 15, 2025 Accepting new patients
Valley Behavioral Health Incorporated Marriage & Family Therapist CurrentSince Jan 1, 2024 Accepting new patients
Free Spirit Counseling & Consulting Multi-Specialty CurrentSince Feb 9, 2020 Accepting new patients
New Horizons Mental Wellness Clinics PLLC Past Accepting new patients
Pearl Health Clinic Mental Health PastSince Feb 9, 2020 Accepting new patients

Locations

4750 N Five Mile Rd
Boise, ID 83713
Phone (208) 375-0500

548 Lomax St
Idaho Falls, ID 83401
Phone (208) 524-3733

3597 E Monarch Sky Ln
Ste 240
Meridian, ID 83646
Phone (208) 996-3519

333 N Alabama St
Ste 350
Indianapolis, IN 46204
Phone (317) 983-0002

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1495411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777334400000",
    "number": "1932636925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12011 EMORY DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462299737",
            "telephone_number": "208-552-4831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12011 EMORY DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462299737",
            "telephone_number": "208-552-4831"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "PO Box 297",
            "address_purpose": "LOCATION",
            "city": "Lewisville",
            "state": "ID",
            "postal_code": "834310297",
            "country_code": "US",
            "telephone_number": "208-552-4831",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATKINS",
        "first_name": "LEISA",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-22",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "ID",
            "license": "LMFT-7510",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "IN",
            "license": "35002409A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.