Active NPI
Leighya J Richard, LMHC
- Professional Counselor
- Land O Lakes, FL
National Provider Identifier
1962640375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- MH11428
- Practice address
- 2647 Narnia Way Unit 102
Land O Lakes, FL 34638-7270 - Phone
- (407) 250-7831
- NPI assigned
- Jan 23, 2009
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | MH11428 | FL | Primary |
Addresses
Primary practice location
2647 Narnia Way Unit 102
Land O Lakes, FL 34638-7270
Mailing address
2647 Narnia Way Unit 102
Land O Lakes, FL 34638-7270
Phone (407) 250-7831
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | hello@therevivewellnessgroup.com | Health Information Exchange (HIE) |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH11428 | FL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Revive Wellness Group, LLC | Current | Accepting new patients |
Locations
2647 Narnia Way
Unit 102
Land O Lakes, FL 34638
Phone (407) 250-7831
2750 Taylor Ave
Ste A42
Orlando, FL 32806
Organizations & group practices 1
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.
-
- Mental Health Counselor
- Land O Lakes, FL
- NPI 1154977064
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685923200000",
"number": "1962640375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2647 NARNIA WAY UNIT 102",
"city": "LAND O LAKES",
"state": "FL",
"postal_code": "346387270",
"telephone_number": "407-250-7831"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2647 NARNIA WAY UNIT 102",
"city": "LAND O LAKES",
"state": "FL",
"postal_code": "346387270",
"telephone_number": "407-250-7831"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARD",
"first_name": "LEIGHYA",
"middle_name": "J",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-01-23",
"last_updated": "2023-06-05",
"certification_date": "2023-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "FL",
"license": "MH11428",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "hello@therevivewellnessgroup.com",
"affiliation": "N",
"endpointDescription": "secure email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "txt",
"address_1": "2647 Narnia Way Unit 102",
"city": "Land O Lakes",
"state": "FL",
"country_code": "US",
"postal_code": "346387270",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Land O Lakes, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.