Leading Edge Therapy LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

LEADING EDGE THERAPY LLC

Practice address

102 Gold Ave SW # 256
Albuquerque, NM 87102-3335

Phone

(417) 501-9423

Fax

(505) 672-7769

NPI assigned

Jan 22, 2025

Organization subpart

No

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

Authorized official

Name

Jamie Marie Loor, PHDNPI 1750078820

Title

Owner

Phone

(417) 501-9423

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jamie Marie Loor, PHD

  • Clinical Psychologist
  • Albuquerque, NM
  • NPI 1750078820
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1737504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737504000000",
    "number": "1942012349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 45681",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871745681",
            "telephone_number": "505-226-1960",
            "fax_number": "505-672-7769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 GOLD AVE SW # 256",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871023335",
            "telephone_number": "417-501-9423",
            "fax_number": "505-672-7769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEADING EDGE THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-22",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A",
        "authorized_official_last_name": "LOOR",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "417-501-9423",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ut Thi Le, DOCTORATE
• Xuan Le
• Jennifer Leach
• Laura Leach, RPH
• Joelle Leacock, CNM
• Leaf Has Won
• Denise Leaf, DS1
• Maggie Leahy, ATC, LAT
• Joshua Leak
• Marcella Sisilia Leakehe Farley

• Clinical Psychologist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Clinical Psychologist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.