MR. GERALD E LEISCHNER (NPI# 1235563719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235563719 |
| Entity Type | Individual |
| Full Name | MR. GERALD E LEISCHNER |
| Practice Address |
5401 Sw 29th St Oklahoma City OK 73179-7602 |
| Mailing Address |
6217 Brookside Dr Oklahoma City OK 73132-5648 |
| Practice Telephone | 4056812003 |
| Mailing Telephone | 4057280962 |
| Enumeration Date | 2013-09-03 |
| Last Update Date | 2013-09-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
OK | Behavioral Health & Social Service Providers |
| Street Address |
5401 SW 29TH ST |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73179-7602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295994663 | Vcphcs Iv, LLC | Counselor | 5401 Sw 29th St, Oklahoma City, OK 73179-7602 | 2008-06-02 |
| 1184182016 | Derrick James Derksen | Case Manager/Care Coordinator | 5401 Sw 29th St, Oklahoma City, OK 73179-7602 | 2019-03-11 |
| 1164856688 | Carolyn Jarrett | Licensed Practical Nurse | 5401 Sw 29th St, Oklahoma City, OK 73179-7602 | 2013-09-03 |
| 1235563750 | Natalie Suzanne Nace | Counselor | 5401 Sw 29th St, Oklahoma City, OK 73179-7602 | 2013-09-03 |
| 1548694227 | Carol Hilton | Registered Nurse | 5401 Sw 29th St, Oklahoma City, OK 73179-7602 | 2013-08-29 |
| 1184058869 | Ericia Michell Oliver | Registered Nurse | 5401 Sw 29th St, Oklahoma City, OK 73179-7602 | 2013-08-29 |
| 1508159401 | Ronald Eric Latimer | Counselor | 5401 Sw 29th St, Oklahoma City, OK 73179-7602 | 2011-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679063929 | Jamie Guthrie | Nurse Practitioner | 4104 Windgate West, Okc, OK 73179 | 2018-05-12 |
| 1063486280 | Tanya M Keck-smith | Physician Assistant | 5031 Sw 29th Street, Access Medical Center, Oklahoma City, OK 73179 | 2006-02-14 |
| 1902285075 | Julie Bynum | Registered Nurse | 3212 Wexford Ave, Oklahoma City, OK 73179-1202 | 2015-05-22 |
| 1801145388 | Cheryl Lynn Dixon | Counselor | 3221 Wexford Ave, Oklahoma City, OK 73179-1203 | 2012-08-30 |
| 1528539541 | Sheena Margariet Musgrove | Nurse Practitioner | 3101 Hampshire Ln, Oklahoma City, OK 73179-1206 | 2018-12-17 |
| 1588828826 | Kelly S. Beals, Inc. | Dietitian, Registered | 3220 Rockhampton Ave, Oklahoma City, OK 73179-1223 | 2008-07-16 |
| 1104396548 | Adalis Alyse Parker | Student in an Organized Health Care Education/Training Program | 9512 Sw 31st St, Oklahoma City, OK 73179-1232 | 2018-11-28 |
| 1477967966 | Eloisa Perez | Counselor | 3216 Westbury Glen Blvd, Oklahoma City, OK 73179-1246 | 2014-06-12 |
| 1366799371 | Kasandra Deann Redwine | Behavioral Analyst | 3200 Westbury Glen Blvd, Oklahoma City, OK 73179-1246 | 2012-08-08 |
| 1063873966 | Lacey Elizabeth Krivanek | Speech-Language Pathologist | 3209 Westbury Glen Blvd, Oklahoma City, OK 73179-1247 | 2016-03-19 |
| Find all providers in zip 73179 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144839994 | Jill Brittny Johnson | Counselor | 2840 Nw 31st St, Oklahoma City, OK 73112-7407 | 2020-07-28 |
| 1760021984 | Damilola Mosebolatan Akintola | Counselor | 5013 Oak Manor Dr, Oklahoma City, OK 73135-2235 | 2020-01-06 |
| 1376185934 | Kevin Pierson | Counselor | 8536 N Lindsay Ave, Oklahoma City, OK 73114-0801 | 2019-10-15 |
| 1922651249 | Timothy Aaron Vick | Counselor | 5101 Nw 26th St, Oklahoma City, OK 73127-1723 | 2019-07-17 |
| 1093378218 | Crentha S Turner | Counselor | 11227 Nile Ave, Oklahoma City, OK 73114-7071 | 2019-04-15 |
| 1720564933 | Dawn Lea Long Counseling LLC | Counselor | 5350 S Western Ave Ste 211, Oklahoma City, OK 73109-4525 | 2018-07-11 |
| 1902395494 | Tisha Lee Rodriguez | Counselor | 4001 N Classen Blvd Ste 105, Oklahoma City, OK 73118-2668 | 2018-05-09 |
| 1306349378 | Charlene Hester | Counselor | 1000 Sw 44th St Ste 200, Oklahoma City, OK 73109-3629 | 2018-03-15 |
| 1114425121 | Jacob Ian Arnold | Counselor | 521 N Council Rd Apt G, Oklahoma City, OK 73127-4971 | 2018-01-24 |
| 1225546534 | Christopher Dewayne Grant | Counselor | 807 Ne 21st St, Oklahoma City, OK 73105-8213 | 2018-01-21 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73179 |
Please comment or provide details below to improve the information on MR. GERALD E LEISCHNER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.