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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: February 3, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 3, 2026, Oct 29, 2018 (2 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
Phone(616) 647-3460
Sole ProprietorNo
Enumeration DateJanuary 26, 2010
Last NPPES UpdateFebruary 3, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 3, 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
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Secondary Practice Location 1

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

Medicare Participation & PECOS CMS

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

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.

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.

When was this NPI record last updated?

The NPPES record for Timothy Leonard was last updated on February 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.