Individual provider Active NPI

Jessie Allan Leu

  • Mental Health Counselor
  • Cleveland, OH
National Provider Identifier
1972020790
Registry record updated Oct 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E.2303972 Issued in OH
Practice address
3500 Lorain Ave Ste 407
Cleveland, OH 44113-3726
Phone
(216) 250-1607
Fax
(216) 304-6669
NPI assigned
Aug 23, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X E.2303972 OH Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 163042 OH

Addresses

Primary practice location

3500 Lorain Ave Ste 407
Cleveland, OH 44113-3726

Mailing address

9399 Basswood Dr
Olmsted Falls, OH 44138-2577
Phone (330) 554-0906

Other identifiers 1

IdentifierTypeStateIssuer
163042MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20240628001525 OH Practitioner - Mental Health Counselor 1254875453

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
163042OHMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Cleveland Sex & Intimacy Counseling Mental Health CurrentSince Jun 5, 2024 Accepting new patients
In the Weeds Counseling, LLC Mental Health PastSince Nov 7, 2025 Accepting new patients
Oriana House, Inc. Past Accepting new patients
Oriana House, Inc. Addiction (Substance Use Disorder) Past Accepting new patients

Locations

3500 Lorain Ave
Ste 407
Cleveland, OH 44113
Phone (216) 200-8543

Organizations & group practices 4

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": "1503446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760918400000",
    "number": "1972020790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9399 BASSWOOD DR",
            "city": "OLMSTED FALLS",
            "state": "OH",
            "postal_code": "441382577",
            "telephone_number": "330-554-0906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 LORAIN AVE STE 407",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441133726",
            "telephone_number": "216-250-1607",
            "fax_number": "216-304-6669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEU",
        "first_name": "JESSIE",
        "middle_name": "ALLAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-23",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.2303972",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "163042",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "163042",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.