Individual provider Active NPI

Leah Beth Deboard, LPC

  • Professional Counselor
  • Lubbock, TX
National Provider Identifier
1992216071
Registry record updated Oct 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
63721 Issued in TX
Practice address
6906 Freemont Ave
Lubbock, TX 79413
Phone
(806) 790-8187
NPI assigned
Oct 17, 2017
Last updated
Oct 17, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 63721 TX Primary

Addresses

Primary practice location

6906 Freemont Ave
Lubbock, TX 79413

Mailing address

6906 Fremont Ave
Lubbock, TX 79413-6221
Phone (806) 790-8187

Other names 1

  • Leah Beth Deboard Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: No
  • 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
I20240122000084 TX Practitioner - Mental Health Counselor 0941652465 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
West Texas Centers for MHMR CurrentSince Jan 1, 2024 Accepting new patients

Locations

409 Runnels St
Big Spring, TX 79720
Phone (432) 264-2650

1501 W 11th Pl
Ste 104
Big Spring, TX 79720
Phone (432) 263-0027

700 W Daggett St
Ste 4
Pecos, TX 79772
Phone (432) 447-2628

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1508198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508198400000",
    "number": "1992216071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6906 FREMONT AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794136221",
            "telephone_number": "806-790-8187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6906 FREEMONT AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "79413",
            "telephone_number": "806-790-8187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBOARD",
        "first_name": "LEAH",
        "middle_name": "BETH",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-17",
        "last_updated": "2017-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "63721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEAH",
            "last_name": "DEBOARD",
            "middle_name": "BETH",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.