MIA LEATHERS (NPI# 1962806513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962806513 |
| Entity Type | Individual |
| Full Name | MIA LEATHERS |
| Credential | LPC U/S |
| Practice Address |
1017 Nw 6th St Oklahoma City OK 73106-7202 |
| Practice Telephone | 4056058282 |
| Practice Fax Number | 4057020468 |
| Mailing Telephone | 4056058282 |
| Mailing Fax Number | 4057020468 |
| Enumeration Date | 2014-10-10 |
| Last Update Date | 2014-10-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | LPC UNDER SUPERV | OK | Behavioral Health & Social Service Providers |
| Street Address |
1017 NW 6TH ST |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73106-7202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083922256 | Benjamin Jon Walser | Counselor | 1017 Nw 6th St, Oklahoma City, OK 73106-7202 | 2010-09-21 |
| 1023413861 | Elizabeth Stoverink | Case Manager/Care Coordinator | 1017 Nw 6th St, Oklahoma City, OK 73106-7202 | 2014-10-22 |
| 1295130045 | Ashlee Miller | Case Manager/Care Coordinator | 1017 Nw 6th St, Oklahoma City, OK 73106-7202 | 2014-10-22 |
| 1841608627 | Lori Barnes | Counselor | 1017 Nw 6th St, Oklahoma City, OK 73106-7202 | 2014-07-24 |
| 1720417355 | Tiffany Batacao | Counselor | 1017 Nw 6th St, Oklahoma City, OK 73106-7202 | 2013-11-04 |
| 1699117564 | Kimberly Dawn Bates | Counselor | 1017 Nw 6th St, Oklahoma City, OK 73106-7202 | 2013-07-22 |
| 1275887960 | Dixi Denise Randall | Community/Behavioral Health | 1017 Nw 6th St, Oklahoma City, OK 73106-7202 | 2012-11-01 |
| 1457604514 | Lacretia Shree Mitchell | Case Manager/Care Coordinator | 1017 Nw 6th St, Oklahoma City, OK 73106-7202 | 2012-10-25 |
| 1083966626 | Michael Lee Smith | Counselor | 1017 Nw 6th St, Oklahoma City, OK 73106-7202 | 2012-10-05 |
| 1790080562 | Pathways Treatment Services Inc | Community/Behavioral Health | 1017 Nw 6th St, Oklahoma City, OK 73106-7202 | 2011-01-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538625660 | Symachia LLC | Physician Assistant | 115 N. Main St., Cashion, OK 73106 | 2019-02-13 |
| 1598290538 | Eric T Manuel | Counselor | 1841 Nw 18th Street, Oklahoma City, OK 73106 | 2017-04-27 |
| 1679010516 | Danny Lee Stone | Peer Specialist | 3010 N Mckinley Ave, Oklahoma City, OK 73106 | 2017-01-31 |
| 1245683929 | Shandi Alphonso | Peer Specialist | 1219 N.w. 9th St., Okc, OK 73106 | 2016-07-19 |
| 1033593173 | Good Journey Hospice, LLC | Hospice Care, Community Based | 901 Nw 25th, Room 2, Oklahoma City, OK 73106 | 2015-07-18 |
| 1114317435 | Savanah Brook Caddel | Counselor | 1251 Nw 25th St, Oklahoma City, OK 73106 | 2015-01-24 |
| 1619381084 | Theressa Hall | Case Manager/Care Coordinator | 1330 N. Classen Blvd, Suite 302, Oklahoma City, OK 73106 | 2014-06-13 |
| 1417376021 | Christe Lyn Sweat | Case Manager/Care Coordinator | 900 Nw 10 Street, Oklahoma City, OK 73106 | 2014-04-10 |
| 1003169004 | Jessica Stevie Schrameck | Counselor | 1017 Nw 6th St., Oklahoma City, OK 73106 | 2012-10-16 |
| 1841579166 | Frances Bernice Pasternik | Counselor | 2220 North Classen Blvd, Suite E, Oklahoma City, OK 73106 | 2011-08-04 |
| Find all providers in zip 73106 | ||||
| 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 |
|---|---|---|---|---|
| 1164039517 | Tommy Craig Smith | Counselor | 3601 N Classen Blvd Ste 102, Oklahoma City, OK 73118-3231 | 2020-09-29 |
| 1215563077 | Beginning Steps | Counselor | 2709 S Magerus St, Oklahoma City, OK 73128-3215 | 2020-03-12 |
| 1932734431 | Debra Lynn Spears | Counselor | 4605 W Nicklas Ave Apt B, Oklahoma City, OK 73132-6913 | 2020-03-05 |
| 1659905024 | Ramona Martinez | Counselor | 2120 Sw 41st St, Oklahoma City, OK 73119-3614 | 2020-02-25 |
| 1699307058 | Caitlin Cox | Counselor | 4341 Will Rogers Pkwy, Oklahoma City, OK 73108-1817 | 2020-02-04 |
| 1760020283 | Casey Erin Marsh-shaevitz | Counselor | 1705 S Morgan Rd, Oklahoma City, OK 73128-7005 | 2019-12-16 |
| 1255982229 | Kelli P Roland | Counselor | 1808 Ne 11th St, Oklahoma City, OK 73117-3606 | 2019-09-21 |
| 1609423979 | Shelia Macon | Counselor | 3309 Ne 18th St, Oklahoma City, OK 73121-2881 | 2019-08-21 |
| 1184285470 | Andrea Elura Clayton | Counselor | 12405 Arrowhead Way, Oklahoma City, OK 73120-8101 | 2019-06-26 |
| 1578026779 | Jacquelyn Danielle Schoppa | Counselor | 7005 N Ann Arbor Ter, Oklahoma City, OK 73132-5915 | 2019-04-13 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73106 |
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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.