Individual provider Active NPI

Nicholas Leon, LPC, NCC, BCC, SAP

  • Professional Counselor
  • Cherry Hill, NJ
National Provider Identifier
1972194074
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC01074400 Issued in NJ
Practice address
1103 Kings Hwy N
Cherry Hill, NJ 08034-1983
Phone
(856) 342-2280
NPI assigned
Feb 1, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 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 Counselor 101YM0800X NJ
Professional Counselor 101YP2500X 37PC01074400 NJ Primary

Addresses

Primary practice location

1103 Kings Hwy N
Cherry Hill, NJ 08034-1983

Mailing address

1 Federal St Ste 200
Camden, NJ 08103-1088
Phone (609) 661-4781

Other practice location 1

11 Midway Ct
Barnegat, NJ 08005
Phone (609) 661-4781

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20250217000455 NJ Practitioner - Mental Health Counselor 4688104946 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37PC01074400NJMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
CMC Psychiatric Associates, PC CurrentSince Feb 1, 2025 Accepting new patients
Integrative Change and Wellness LLC Professional CurrentSince Jul 22, 2025 Accepting new patients

Locations

3 Cooper Plz
Rm 104
Camden, NJ 08103
Phone (609) 963-6770

3 Cooper Plz
Rm 307
Camden, NJ 08103
Phone (856) 757-7799

1103 Kings Hwy N
Cherry Hill, NJ 08034
Phone (609) 321-1800

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1612137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1972194074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FEDERAL ST STE 200",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031088",
            "telephone_number": "609-661-4781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 KINGS HWY N",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080341983",
            "telephone_number": "856-342-2280"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11 Midway Ct",
            "address_purpose": "LOCATION",
            "city": "Barnegat",
            "state": "NJ",
            "postal_code": "08005",
            "country_code": "US",
            "telephone_number": "609-661-4781",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEON",
        "first_name": "NICHOLAS",
        "credential": "LPC, NCC, BCC, SAP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-01",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC01074400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

Verify at the official NPI Registry.