Individual provider Active NPI

Jessica Leo, MS, LCADC

  • Addiction (Substance Use Disorder) Counselor
  • Morristown, NJ
National Provider Identifier
1972128171
Registry record updated Jun 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
37LC00301500 Issued in NJ
Practice address
320 South St Apt 10L
Morristown, NJ 07960-6060
Phone
(973) 769-6661
NPI assigned
Jun 12, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 37LC00301500 NJ Primary

Addresses

Primary practice location

320 South St Apt 10L
Morristown, NJ 07960-6060

Mailing address

320 South St Apt 10L
Morristown, NJ 07960-6060
Phone (973) 769-6661

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL CounselingJessica@gmail.com

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
Master of Science

State licenses

LicenseStateTypeSpecialty
37LC00301500NJMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1591920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591920000000",
    "number": "1972128171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 SOUTH ST APT 10L",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079606060",
            "telephone_number": "973-769-6661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 SOUTH ST APT 10L",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079606060",
            "telephone_number": "973-769-6661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEO",
        "first_name": "JESSICA",
        "credential": "MS, LCADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-12",
        "last_updated": "2020-06-12",
        "certification_date": "2020-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00301500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "CounselingJessica@gmail.com",
            "affiliation": "N",
            "address_1": "320 South St Apt 10L",
            "city": "Morristown",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "079606060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Morristown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.