Active NPI
Jessie Allan Leu
- Mental Health Counselor
- Cleveland, OH
National Provider Identifier
1972020790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- E.2303972
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 163042 | Medicaid | OH |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240628001525 | OH | Practitioner - Mental Health Counselor | 1254875453 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 163042 | OH | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cleveland Sex & Intimacy Counseling | Mental Health | Current | Accepting new patients |
| In the Weeds Counseling, LLC | Mental Health | Past | 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.
-
- Mental Health Counselor
- Cleveland, OH
- NPI 1205762416
-
- Clinical Social Worker
- Cleveland, OH
- NPI 1982203246
Mental Health
-
- Addiction (Substance Use Disorder) Counselor
- Akron, OH
- NPI 1730127176
-
- Community/Behavioral Health Agency
- Marietta, OH
- NPI 1790249431
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.