Active NPI
George Leone, PH.D.
- Counselor
- Las Vegas, NM
National Provider Identifier
1962557595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 0395
- Practice address
- 2301 Collins Dr
Las Vegas, NM 87701-4826 - Phone
- (505) 425-9362
- NPI assigned
- Jan 24, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 0395 | NM | Primary |
Addresses
Primary practice location
2301 Collins Dr
Las Vegas, NM 87701-4826
Mailing address
PO Box 165
Serafina, NM 87569-0165
Phone (505) 429-9217
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NM000069 | Medicaid | NM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0395 | NM | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1962557595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 165",
"city": "SERAFINA",
"state": "NM",
"postal_code": "875690165",
"telephone_number": "505-429-9217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2301 COLLINS DR",
"city": "LAS VEGAS",
"state": "NM",
"postal_code": "877014826",
"telephone_number": "505-425-9362"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEONE",
"first_name": "GEORGE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-24",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NM",
"license": "0395",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NM000069",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.