Active NPI
Kristan Marie Leonard, LCMHC
- Mental Health Counselor
- Pinehurst, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 14417
- Practice address
- 289 Olmsted Blvd Ste 1
Pinehurst, NC 28374-8730 - Phone
- (910) 295-6007
- NPI assigned
- Aug 2, 2016
- Last updated
- Jun 5, 2024
- Sex
- Female
- Sole proprietor
- No
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 | 14417 | NC | Primary |
| Behavior Analyst | 103K00000X | RBT-15-03491 | NC |
Addresses
Primary practice location
289 Olmsted Blvd Ste 1
Pinehurst, NC 28374-8730
Mailing address
CMR 489 Box 1384
Apo, AE 09751-0014
Other practice location 1
5816 Creedmoor Rd
Suite 104
Raleigh, NC 27612-2310
Phone (910) 879-6102
Other names 1
- Kristan Marie Inman
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1101 Marco Dr
Suite 200
Apex, NC 27502-2540
Phone (919) 636-5240
400 Westwood Shopping Ctr
Suite 210
Fayetteville, NC 28314-1683
Phone (919) 636-5240
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14417 | NC | MD | Mental Health Counselor |
| RBT-15-03491 | NC | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optum Behavioral Care of North Carolina, PC | Current | Accepting new patients | |
| Optum Behavioral Care of North Carolina, P.C. | Current | Accepting new patients |
Locations
11000 Optum Cir
Eden Prairie, MN 55344
Phone (888) 445-8745
1101 Marco Dr
Ste 200
Apex, NC 27502
Phone (844) 534-7202
4102 Ben Franklin Blvd
Durham, NC 27704
Phone (919) 972-7700
289 Olmsted Blvd
Ste 1
Pinehurst, NC 28374
Phone (910) 295-6007
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Carolina Behavioral Care Centers
- Counseling Psychologist
- Hillsborough, NC
- NPI 1629843933
-
- Clinical Social Worker
- Gulfport, MS
- NPI 1861371718
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717545600000",
"number": "1972056422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "MIL",
"address_1": "CMR 489 BOX 1384",
"city": "APO",
"state": "AE",
"postal_code": "097510014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "289 OLMSTED BLVD STE 1",
"city": "PINEHURST",
"state": "NC",
"postal_code": "283748730",
"telephone_number": "910-295-6007"
}
],
"practiceLocations": [
{
"address_1": "5816 Creedmoor Rd",
"address_2": "Suite 104",
"address_purpose": "LOCATION",
"city": "Raleigh",
"state": "NC",
"postal_code": "276122310",
"country_code": "US",
"telephone_number": "910-879-6102",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEONARD",
"first_name": "KRISTAN",
"middle_name": "MARIE",
"credential": "LCMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-02",
"last_updated": "2024-06-05",
"certification_date": "2024-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "14417",
"primary": true
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NC",
"license": "RBT-15-03491",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTAN",
"last_name": "INMAN",
"middle_name": "MARIE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Pinehurst, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.