Individual provider Active NPI

George Roger Leroy, LCAS, LPC

  • Mental Health Counselor
  • Black Mountain, NC
National Provider Identifier
1952466658
Registry record updated Mar 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
4198 Issued in NC
Practice address
130 Center Ave
Black Mountain, NC 28711-3509
Phone
(828) 620-0786
NPI assigned
Dec 25, 2006
Last updated
Mar 25, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 846 NC
Mental Health Counselor 101YM0800X 4198 NC Primary

Addresses

Primary practice location

130 Center Ave
Black Mountain, NC 28711-3509

Mailing address

PO Box 1544
Black Mountain, NC 28711-1544
Phone (828) 713-2163

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20240322004110 NC Practitioner - Mental Health Counselor 8325485501 Practice locations: Swannanoa, NC

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2263 US Hwy 70
Unit 2
Swannanoa, NC 28778-9304
Phone (828) 713-2163

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
846NCMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1167004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553472000000",
    "number": "1952466658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1544",
            "city": "BLACK MOUNTAIN",
            "state": "NC",
            "postal_code": "287111544",
            "telephone_number": "828-713-2163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 CENTER AVE",
            "city": "BLACK MOUNTAIN",
            "state": "NC",
            "postal_code": "287113509",
            "telephone_number": "828-620-0786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEROY",
        "first_name": "GEORGE",
        "middle_name": "ROGER",
        "name_prefix": "Mr.",
        "credential": "LCAS, LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-25",
        "last_updated": "2019-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "846",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "4198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Black Mountain, NC

Sources for this page

Verify at the official NPI Registry.