LEAF AND STONE PLLC
NPI 1356030951
Nurse Practitioner - Psychiatric/Mental Health in Tucson, AZ

Active since May 01, 2023
2919 E BROADWAY BLVD # 205, TUCSON, AZ 85716(520) 654-5502(520) 842-8765 Get Directions Write a Review

NPPES record last updated: April 27, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 10, 2023, May 2, 2023 (2 updates tracked since 2023).

About Leaf And Stone Pllc NPPES

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

LEAF AND STONE PLLC (NPI 1356030951) is a healthcare organization registered as a psychiatric/mental health in Tucson, Arizona and active in the NPI registry since May 2023. The organization lists Johannah Blake, Owner/provider, as its authorized official.

NPPES Registry Identity

NPI1356030951
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameLEAF AND STONE PLLC
Location Address2919 E BROADWAY BLVD # 205Tucson, AZ 85716-5301
Mailing Address3814 E 5th StTucson, AZ 85716-5145 · (520) 372-8575 · Fax (520) 372-8576
Fax(520) 842-8765
Organization SubpartNo
Authorized OfficialJohannah BlakeOwner/provider · (520) 654-5502
Enumeration DateMay 1, 2023
Last NPPES UpdateApril 27, 20252 updates tracked since enumeration
NPPES CertifiedApril 27, 2025
✔ NPI 1356030951 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
2919 E BROADWAY BLVD # 205, Tucson, AZ 85716

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Leaf And Stone Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Leaf And Stone PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1609426261
2919 E BROADWAY BLVD # 205
Tucson, AZ 85716
(520) 654-5502
✔ PECOS✔ Accepts MedicareSame address

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 Leaf And Stone PLLC's NPI number?

The NPI number for Leaf And Stone PLLC is 1356030951. It was assigned to this organization in the NPPES registry on May 1, 2023.

Where is Leaf And Stone PLLC located?

Leaf And Stone PLLC is located at 2919 E Broadway Blvd # 205, Tucson, AZ 85716. The listed phone number is (520) 654-5502.

What is Leaf And Stone PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Leaf And Stone PLLC enrolled in Medicare?

Yes. Leaf And Stone PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Leaf And Stone PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Leaf And Stone PLLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Leaf And Stone PLLC was last updated on April 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.