SHANNON T LEACH


Address: 4835 Poplar Level Rd Ste 110, Louisville, KY 40213-2906
Phone: 5024435273

SHANNON T LEACH (NPI# 1942772074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1942772074
Entity Type Individual
Full Name SHANNON T LEACH
Credential BA CMS
Practice Address 4835 Poplar Level Rd Ste 110
Louisville
KY 40213-2906
Mailing Address 11110 Little Spring Blvd
Louisville
KY 40291-5066
Practice Telephone 5024435273
Practice Fax Number 5026319660
Mailing Telephone 5027128905
Enumeration Date 2018-12-31
Last Update Date 2018-12-31
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101Y00000X Counselor Behavioral Health & Social Service Providers

Other Providers SHANNON LEACH

NPI Name Taxonomy Address Enumeration
1265858047 Shannon Leach Nurse Practitioner 1234 Huffman Mill Road, Burlington, NC 27215-8700 2014-03-17
1285918938 Shannon M Leach Nurse Practitioner 1700 13th St, Everett, WA 98201-1689 2011-09-29

Office Location

Street Address 4835 POPLAR LEVEL RD STE 110
City LOUISVILLE
State KY
Zip Code 40213-2906

Providers in the same location

NPI Name Taxonomy Address Enumeration
1366777351 Meredith Wood Michel Nurse Practitioner 4835 Poplar Level Rd Ste 110, Louisville, KY 40213-2906 2009-10-08
1336764414 Tessa Johnston Counselor 4835 Poplar Level Rd Ste 110, Louisville, KY 40213-2906 2020-06-15
1881228468 Morgan Elizabeth Gillenwater Case Manager/Care Coordinator 4835 Poplar Level Rd Ste 110, Louisville, KY 40213-2906 2020-02-23
1790316990 Dakota Steven Gallimore Counselor 4835 Poplar Level Rd Ste 110, Louisville, KY 40213-2906 2020-01-28
1053958793 Andrea Lillian Collins Ratliff Community Health Worker 4835 Poplar Level Rd Ste 110, Louisville, KY 40213-2906 2019-12-02
1760035554 Laura Marie Voyda Case Management 4835 Poplar Level Rd Ste 110, Louisville, KY 40213-2906 2019-07-20
1285295113 Timothy Couch Nurse Practitioner 4835 Poplar Level Rd Ste 110, Louisville, KY 40213-2906 2019-06-21
1689232712 Ellen Kaiser Marriage & Family Therapist 4835 Poplar Level Rd Ste 110, Louisville, KY 40213-2906 2019-06-04
1134699689 Jennifer Puckett Social Worker 4835 Poplar Level Rd Ste 110, Louisville, KY 40213-2906 2018-11-27
1922581826 Jeanessa Payne Case Manager/Care Coordinator 4835 Poplar Level Rd Ste 110, Louisville, KY 40213-2906 2018-09-07
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1487130076 Latonia Cheeks Counselor 4835 Poplar Level Rd Ste. 110, Louisville, KY 40213 2018-07-17
1225553431 Kandace Ratterman Case Manager/Care Coordinator 4814 Kingfisher Way, Louisville, KY 40213 2017-08-08
1700338456 Ann Devos Physician Assistant 3303 Fern Valley Road, Louisville, KY 40213 2016-10-28
1124426275 Rebecca Sue Jenkins Home Health Aide 3523 Whippoorwill Rd, Louisville, KY 40213 2014-12-05
1053518308 Gabor Ambrus Pathology 4500 Conaem Drive, Louisville, KY 40213 2007-06-29
1760504724 Benjamin Francis Robinson Chiropractor 4919h Dixie Highway, Louisville, KY 40213 2007-04-03
1790814408 Howard L Green Dentist 3813 Poplar Level Rd, Louisville, KY 40213 2007-03-06
1063587970 Roy Hyman Optometrist 5202 Preston Hwy, Louisville, KY 40213 2006-11-24
1689769291 James H Kidwell Psychologist 1448 Gardiner Lane, Suite 202 203, Louisville, KY 40213 2006-10-03
1366556524 Harris & Harris Dmd Psc Dentist 5014 Preston Hwy, #b, Louisville, KY 40213 2006-08-17
Find all providers in zip 40213

Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1588281711 Net Law Group, Inc Counselor 12910 Shelbyville Rd Ste 124, Louisville, KY 40243-1594 2020-07-04
1114541521 Misty R Keith Counselor 12700 Townepark Way Ste 337, Louisville, KY 40243-2556 2020-06-01
1659938678 Yomna Amer Counselor 9110 Auburn Woods Ct, Louisville, KY 40214-7601 2019-05-24
1891258273 Lisa Apel Counselor 287 Century Circle, Louisville, CO 80027 2019-04-11
1467918664 Amy Rock LLC Counselor 4010 Dupont Cir Ste 307, Louisville, KY 40207 2019-02-13
1316419765 Maurice F Williamson Counselor 12807 Bay Tree Way, Louisville, KY 40245-6536 2018-12-26
1013493717 Vision of Promise LLC Counselor 2312 S Preston St Unit 17707, Louisville, KY 40217-5029 2018-07-16
1902310790 Susan Elizabeth St Vrain Counselor 4835 Poplar Level Rd, Louisville, KY 40213-2905 2017-12-01
1649799834 Nicola A Heekin Counselor 126 Heady Ave, Louisville, KY 40207-3916 2017-09-19
1871022483 Kelly Stuhldreher Counselor 1293 California Ave Ste A, Louisville, OH 44641-8749 2017-06-07
Find all providers in LOUISVILLE

Competitor

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City LOUISVILLE
Zip Code 40213

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Dataset Information

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.

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