KIMBERLY A. G. LEICHTY (NPI# 1255769394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255769394 |
| Entity Type | Individual |
| Full Name | KIMBERLY A. G. LEICHTY |
| Credential | LPCC |
| Practice Address |
1522 East Us Rte 36 Suite A Urbana OH 43078 |
| Mailing Address |
Po Box 817 West Liberty OH 43357-0817 |
| Practice Telephone | 9376535583 |
| Practice Fax Number | 9376534787 |
| Mailing Telephone | 9374658065 |
| Mailing Fax Number | 9374650442 |
| Enumeration Date | 2013-10-29 |
| Last Update Date | 2017-01-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
E100103 | OH | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
C.1100103-CR | OH | Behavioral Health & Social Service Providers |
| N | 101YS0200X |
Counselor Specialization: School |
OH 3092026 | OH | Behavioral Health & Social Service Providers |
| Street Address |
1522 EAST US RTE 36 SUITE A |
| City | URBANA |
| State | OH |
| Zip Code | 43078 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427532191 | Cory K Crabtree | Case Management | 1522 East Us Rte 36, Suite A, Urbana, OH 43078 | 2018-09-19 |
| 1245729425 | Angela Fritts | Case Manager/Care Coordinator | 1522 East Us Rte 36, Suite A, Urbana, OH 43078 | 2018-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750851812 | Alicia Susanne Mcguire | Case Manager/Care Coordinator | 1522 West Us Highway 36, Suite A, Urbana, OH 43078 | 2018-12-03 |
| 1962998674 | Emily Holland | Counselor | 1522 East Us Rte 36, Suite A, Urbana, OH 43078 | 2018-07-05 |
| 1790235638 | Scott Kayatin | Chiropractor | 1598 E Us Highway 36, Urbana, OH 43078 | 2016-10-04 |
| 1053778522 | Holly Bowman | Specialist | 888 East Court Street, Urbana, OH 43078 | 2016-01-28 |
| 1932512142 | Amanda Myers | Nurse Practitioner | 204 Patrick Avenue, Urbana, OH 43078 | 2014-06-05 |
| 1700201290 | Laura Nichole Steele | Speech-Language Pathologist | 2200 Us 68, Urbana, OH 43078 | 2014-02-20 |
| 1912249186 | Jessica Thomas | Licensed Practical Nurse | 520 E Water St, Urbana, OH 43078 | 2013-03-26 |
| 1699053884 | Terry Means | Social Worker | 1522 E Us Rte 36, Suite A, Urbana, OH 43078 | 2011-07-22 |
| 1619277860 | Vectren | Home Infusion | 7587 W St Rt 29, Urbana, OH 43078 | 2010-10-21 |
| 1821313412 | Jessie Lou Nichols | Acupuncturist | 130 Downs Ave., Urbana, OH 43078 | 2010-04-07 |
| Find all providers in zip 43078 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447892013 | Carmen Ramirez-kinsey | Counselor | 201 Lincoln Sq Ste 154a, Urbana, IL 61801-3331 | 2019-10-15 |
| 1750922969 | Lisa Hausman Davison | Counselor | 3409a Urbana Pike Fl 3, Urbana, MD 21704-7772 | 2019-09-30 |
| 1285189803 | Evolution Counseling Center, P.C. | Counselor | 1603 Montgomery St, Urbana, IL 61802-4744 | 2016-08-24 |
| 1396104998 | Katherine Stouffer | Counselor | 115 N Main St Ste C, Urbana, OH 43078-1676 | 2016-02-11 |
| 1932495223 | Karen Allen Fowler | Counselor | 40 Monument Sq Ste 301, Urbana, OH 43078-2067 | 2011-06-24 |
| 1922217280 | Brooke Jasmine Dibello | Counselor | 1713 E Fairlawn Dr, Urbana, IL 61802-5423 | 2007-05-22 |
| 1326268814 | Tracy F. Grissom | Counselor | 511 W Green St., Urbana, IL 61801-3942 | 2007-04-26 |
| 1316163991 | Sharon Ann Decelle | Counselor | 309 E Holmes St, Urbana, IL 61801-6731 | 2007-04-18 |
| 1740328970 | James R Klein | Counselor | 511 W Green St, Urbana, IL 61801-3942 | 2007-02-01 |
| 1033682745 | Jessica Erin Culp | Counselor | 404 W Green St, Urbana, IL 61801-3267 | 2019-01-04 |
| Find all providers in URBANA | ||||
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| 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.