Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

TIMOTHY GERARD LEONARD LMSW
NPI 1194056457
Counselor in Grand Rapids, MI

Active since January 26, 2010PECOS Enrolled
680 3 MILE RD NW STE 150, GRAND RAPIDS, MI 49544(616) 647-3460 Get Directions Write a Review

NPPES record last updated: October 5, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 5, 2026, Feb 3, 2026, Oct 29, 2018 (3 updates tracked since 2018).

About Timothy Gerard Leonard Lmsw NPPES

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

TIMOTHY GERARD LEONARD LMSW (NPI 1194056457) is an individual counselor in Grand Rapids, Michigan, licensed in Michigan (6801082003) and active in the NPI registry since January 2010. He is enrolled in Medicare PECOS and maintains a secondary practice location in Grand Rapids.

NPPES Registry Identity

NPI1194056457
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameTIMOTHY GERARD LEONARDCredential: LMSW
Location Address680 3 MILE RD NW STE 150Grand Rapids, MI 49544-8218
Mailing Address790 Fuller Ave NeGrand Rapids, MI 49503-1918 · (616) 336-3909 · Fax (616) 336-8830
Sole ProprietorNo
Enumeration DateJanuary 26, 2010
Last NPPES UpdateOctober 5, 20263 updates tracked since enumeration
NPPES CertifiedOctober 5, 2026
✔ NPI 1194056457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in MI · 6801082003
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.
680 3 MILE RD NW STE 150, Grand Rapids, MI 49544

Secondary Practice Location 1

Location 1790 Fuller AVE NEGrand Rapids, MI 49503-1918 · Phone (616) 336-3909 · Fax (616) 336-8830

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Timothy Gerard Leonard Lmsw 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.

Medicare Billing Reassignment

Medicare enrollment records show Timothy Leonard reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community/Behavioral Health
790 FULLER AVE NE
Grand Rapids, MI 49503
  • Reassigned Medicare billing, Michigan enrollment
  • 164 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Timothy Leonard's NPI number?

The NPI number for Timothy Leonard is 1194056457. It was assigned to this individual provider in the NPPES registry on January 26, 2010.

Where is Timothy Leonard located?

Timothy Leonard practices at 680 3 Mile Rd NW Ste 150, Grand Rapids, MI 49544. The listed phone number is (616) 647-3460.

What is Timothy Leonard's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Timothy Leonard enrolled in Medicare?

Yes. Timothy Leonard is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Timothy Leonard's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Leonard reassigns Medicare benefits to Kent County Cmh Authority (Grand Rapids, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Timothy Leonard's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Timothy Leonard accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company and Priority Health list Timothy Leonard 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 Timothy Leonard was last updated on October 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 days 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.