JOHNNY D LEONARD (NPI# 1407132079) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407132079 |
| Entity Type | Individual |
| Full Name | JOHNNY D LEONARD |
| Practice Address |
901 Arsenal Ave Suite 202 Fayetteville NC 28305-5398 |
| Mailing Address |
904 Norwood St Apt 5 Fayetteville NC 28305-4896 |
| Practice Telephone | 9103233368 |
| Practice Fax Number | 9104867000 |
| Mailing Telephone | 9104890429 |
| Enumeration Date | 2011-10-27 |
| Last Update Date | 2014-10-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
2305 | NC | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
9092 | NC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 6112397 | 05 |
| Street Address |
901 ARSENAL AVE SUITE 202 |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28305-5398 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629122817 | Laurie Ann Powers | Physician Assistant | 901 Arsenal Ave, 202, Fayetteville, NC 28305-5478 | 2007-01-23 |
| 1255878906 | Teresa Julia Bailey | Social Worker | 901 Arsenal Ave, Fayetteville, NC 28305-5398 | 2017-01-19 |
| 1407240005 | Donisa Hammond | Counselor | 901 Arsenal Ave, 202, Fayetteville, NC 28305-5398 | 2015-03-23 |
| 1770971905 | Sandy Lynn Paul | Counselor | 901 Arsenal Ave, Suite 202, Fayetteville, NC 28305-5398 | 2014-12-22 |
| 1023415551 | Lighthouse Counseling Center and Associated Therapeutic Services, LLC | Community/Behavioral Health | 901 Arsenal Ave, Suite 202, Fayetteville, NC 28305-5398 | 2014-11-26 |
| 1518370394 | Joanne Lorraine Coddington | Counselor | 901 Arsenal Ave, Fayetteville, NC 28305-5398 | 2014-06-09 |
| 1023445707 | Casey Durwood Groover | Counselor | 901 Arsenal Ave, Fayetteville, NC 28305-5398 | 2013-09-26 |
| 1427322312 | Misty Karla Martin | Counselor | 901 Arsenal Ave, Suite 202, Fayetteville, NC 28305-5398 | 2012-02-24 |
| 1407120397 | Elizabeth L. Woida | Counselor | 901 Arsenal Ave, Ste 202, Fayetteville, NC 28305-5398 | 2012-02-24 |
| 1427328475 | Christy Joy Cull | Counselor | 901 Arsenal Ave, Fayetteville, NC 28305-5398 | 2012-01-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437637733 | Shannon S Wiggins | Social Worker | 2525 Raeford Rd Ste A, Fayetteville, NC 28305 | 2018-07-30 |
| 1205345790 | Sarah Elizabeth Hudson | Marriage & Family Therapist | 214 Fairway Dr, Fayetteville, NC 28305 | 2017-09-27 |
| 1336533116 | Avalon Counseling Services Pa | Counselor | 916 B Arsenal Ave, Fayetteville, NC 28305 | 2015-03-19 |
| 1568882827 | Kenneth Brown | Counselor | 901 Arsenal Avenue, Suite, Fayetteville, NC 28305 | 2014-04-24 |
| 1174879423 | Lynette Maxwell Pierce | Dentist | 2537-b Raeford Rd, Fayetteville, NC 28305 | 2012-07-24 |
| 1356640973 | Charlene Jones | Social Worker | 560 Lambert St, Fayetteville, NC 28305 | 2011-03-22 |
| 1659518173 | Christine R Campbell | Speech-Language Pathologist | 2401 Roberson Street, Fayettville, NC 28305 | 2009-01-21 |
| 1588814628 | Zakiya S Karim | Pediatrics | 1327 Robeson Street, Fayetteville, NC 28305 | 2008-09-25 |
| 1710134770 | Bright Heart Healthcare Staffing | Nursing Care | 2504 Rareford Rd, Fayetteville, NC 28305 | 2008-08-21 |
| 1730272402 | Dale A Childers | Dentist | 2409 Robeson Street, Fayetteville, NC 28305 | 2006-10-02 |
| Find all providers in zip 28305 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841899986 | Cynthia Hrdlichka | Counselor | 2224 E Elaine Ave, Fayetteville, AR 72703-4507 | 2020-10-20 |
| 1568069169 | Blaire Bradbury | Counselor | 1466 N Desoto Pl, Fayetteville, AR 72703-1953 | 2020-10-06 |
| 1588294631 | Puzzle Collaborative | Counselor | 34 W Colt Square Dr Ste 1, Fayetteville, AR 72703-2888 | 2020-01-16 |
| 1700421724 | Waylon Vande Hoef | Counselor | 1925 N Green Acres Rd, Fayetteville, AR 72703-2617 | 2019-11-13 |
| 1730640137 | Sherrita Hedgepeth | Counselor | 1351 Glen Iris Dr Apt 105, Fayetteville, NC 28314-6190 | 2019-03-28 |
| 1689139362 | Resiliency Behavioral Health Services LLC | Counselor | 145 Govenors Square, Ste A, Fayetteville, GA 30269 | 2019-02-06 |
| 1073006540 | Rona Gooden | Counselor | 706 Dandridge Dr, Fayetteville, NC 28303-2017 | 2018-06-10 |
| 1194229245 | The Welling Place LLC | Counselor | 2525 Raeford Rd Ste C, Fayetteville, NC 28305-5092 | 2018-03-22 |
| 1104320399 | Tia Porterfield | Counselor | 2018 Fort Bragg Rd Ste 112a, Fayetteville, NC 28303 | 2018-03-21 |
| 1376062539 | Monique R Darnell | Counselor | 320 W. Lanier Avenue Ste 200, Fayetteville, GA 30214 | 2017-09-19 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 28305 |
Please comment or provide details below to improve the information on JOHNNY D LEONARD.
| 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.