BRIAN DOUGLAS LEIDAL MA LPC CMHC
NPI 1154083897
Counselor - Mental Health in Ann Arbor, MI

Active since October 11, 2021PECOS Enrolled
405 LITTLE LAKE DR STE A, ANN ARBOR, MI 48103(734) 719-0380 Get Directions Write a Review

NPPES record last updated: September 5, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 5, 2023, Aug 31, 2023, Jul 26, 2022 and 1 more (4 updates tracked since 2021).

About Brian Douglas Leidal Ma Lpc Cmhc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRIAN DOUGLAS LEIDAL MA LPC CMHC (NPI 1154083897) is an individual mental health provider in Ann Arbor, Michigan, licensed in Michigan (6401223256) and active in the NPI registry since October 2021. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1154083897
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameBRIAN DOUGLAS LEIDALCredential: MA LPC CMHC
Location Address405 LITTLE LAKE DR STE AAnn Arbor, MI 48103-6220
Mailing Address121 Wood St Apt 3Bristol, RI 02809-3169 · (313) 969-2288
Sole ProprietorYes
Enumeration DateOctober 11, 2021
Last NPPES UpdateSeptember 5, 20234 updates tracked since enumeration
NPPES CertifiedSeptember 5, 2023
NPI 1154083897 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses Licensed in MI · 6401223256 Licensed in RI · MHC01319 Licensed in UT · 10460707-6004
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License LPC.0013400 (CO)
405 LITTLE LAKE DR STE A, Ann Arbor, MI 48103

Secondary Practice Locations 2

Location 12301 S Huron Pkwy Ste 3DAnn Arbor, MI 48104-5133 · Phone (734) 719-0380
Location 2469 Centerville Rd Ste 105Warwick, RI 02886-4356 · Phone (313) 969-2288

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Brian Douglas Leidal Ma Lpc Cmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Psychiatric/Mental Health)
405 LITTLE LAKE DR STE A
ANN ARBOR, MI 48103

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brian Leidal's NPI number?

The NPI number for Brian Leidal is 1154083897. It was assigned to this individual provider in the NPPES registry on October 11, 2021.

Where is Brian Leidal located?

Brian Leidal practices at 405 Little Lake Dr Ste A, Ann Arbor, MI 48103. The listed phone number is (734) 719-0380.

What is Brian Leidal's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Brian Leidal enrolled in Medicare?

Yes. Brian Leidal is registered in the Medicare PECOS enrollment system.

What insurance does Brian Leidal accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Brian Leidal as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Brian Leidal was last updated on September 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.