LEAP ORGANIZATION (NPI# 1912262650) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912262650 |
Entity Type | Organization |
Organization Name | LEAP ORGANIZATION |
Other Organization Name | L.E.A.P ORG |
Practice Address |
1860 Wilma Rudolph Blvd Suite 100 Clarksville TN 37040-6669 |
Practice Telephone | 9313780500 |
Practice Fax Number | 9312740929 |
Mailing Telephone | 9313780500 |
Mailing Fax Number | 9312740929 |
Enumeration Date | 2012-07-09 |
Last Update Date | 2013-10-03 |
Authorized Official Name | RICHARD GARRETT (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 9313780500 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
Other Name | Type Code |
---|---|
L.E.A.P Org | Doing Business As Name - Organization |
Street Address |
1860 WILMA RUDOLPH BLVD SUITE 100 |
City | CLARKSVILLE |
State | TN |
Zip Code | 37040-6669 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972066280 | Briana Lavacot | Social Worker | 1860 Wilma Rudolph Blvd, Clarksville, TN 37040-6718 | 2019-04-12 |
1194153510 | A.i.r. | Substance Abuse Rehabilitation Facility | 1860 Wilma Rudolph Blvd, Clarksville, TN 37040-6718 | 2013-10-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770124380 | Clarksville Treatment Center, LLC | Clinic/Center | 495 Dunlop Lane, Clarksville, TN 37040 | 2019-10-04 |
1295384956 | Dena Marie Borchick | Technician | 3779 Cindy Jo Dr. N, Clarksville, TN 37040 | 2019-09-05 |
1477014488 | Emily Allen | Dentist | 930 Hwy 76, Clarksville, TN 37040 | 2019-03-31 |
1730640566 | Latoya Ewert | Counselor | Centerstone Clarksville Harriet Cohn Center, 511 8th Street, Clarksville, TN 37040 | 2019-03-26 |
1356811988 | Jamie Coles | Behavior Technician | 851 Professional Park Drive 851 Profesiional Park Drive, Clarksville, TN 37040 | 2018-11-27 |
1518448554 | Bandel Counseling Service | Clinic/Center | 113 3rd St., Suite 25, Clarksville, TN 37040 | 2018-08-28 |
1477052520 | Bridget Stokes | Behavior Technician | 2277 Wilma Rudolph Blvd., Suite C #259, Clarksville, TN 37040 | 2018-02-05 |
1053824334 | Sandra Loren Coates | Nurse Practitioner | 980 Professional Park Dr Ste C, Clarksville, TN 37040 | 2017-11-09 |
1902328362 | Terri Brooke Roach | Registered Nurse | 651 Dunlop Lane, Clarksville, TN 37040 | 2017-07-07 |
1093244428 | Nikkia Deneil Bell | Behavior Technician | 139 E. Old Trenton Rd, Suite B, Clarksville, TN 37040 | 2017-06-08 |
Find all providers in zip 37040 |
Taxonomy Code | 101Y00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295350338 | Lucinda Ann Earlywine I | Counselor | 1661 Baltimore Dr Apt D, Clarksville, TN 37043-6613 | 2020-06-15 |
1194376178 | Jerry Lewis | Counselor | 1606r W Cherry St, Clarksville, AR 72830-2506 | 2019-09-22 |
1639658321 | Fabulous Community Services, Inc. | Counselor | 120 West Dr, Clarksville, TN 37040-2109 | 2018-08-13 |
1447773577 | Amanda Lynn Bilano | Counselor | 840 Brooke Valley Trce, Clarksville, TN 37043-5934 | 2017-07-20 |
1861945750 | Kati Young | Counselor | 139 E Old Trenton Rd, Clarksville, TN 37043-5845 | 2016-07-27 |
1184078040 | Sheena Williams | Counselor | 901 Martin St., Clarksville, TN 37042 | 2016-04-18 |
1710369731 | Kathryn Hadley | Counselor | 800 River Run, Clarksville, TN 37043-6041 | 2015-06-25 |
1598162950 | Dawn Hussey-riggs | Counselor | 3415 Durrett Dr, Clarksville, TN 37042-5650 | 2014-12-01 |
1467853457 | April M Brobston | Counselor | 120 Center Point Road, Suite 1, Clarksville, TN 37040 | 2014-09-09 |
1841576196 | Paula Denise Hampton | Counselor | 3430 Quicksilver Ln, Clarksville, TN 37042-9524 | 2011-11-01 |
Find all providers in CLARKSVILLE |
City | CLARKSVILLE |
Zip Code | 37040 |
Please comment or provide details below to improve the information on LEAP ORGANIZATION.
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.