JUSTIN LEAK
NPI 1750571618
Marriage & Family Therapist in Portland, OR

Q: What is Justin Leak's NPI number?

The NPI number for Justin Leak is 1750571618. It was assigned to this individual provider in the NPPES registry on July 26, 2007.

Q: What is Justin Leak's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Justin Leak was last updated on July 26, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since July 26, 2007PECOS Enrolled

0615 SW PALATINE HILL RD, MSC 101, PORTLAND, OR 97219(503) 535-1181 Get Directions Write a Review

NPPES record last updated: July 26, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Justin Leak NPPES

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

JUSTIN LEAK (NPI 1750571618) is an individual marriage & family therapist in Portland, Oregon and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750571618

Entity TypeIndividualMale

Primary Taxonomy106H00000X

Provider Legal NameJUSTIN LEAK

Location Address0615 SW PALATINE HILL RD, MSC 101Portland, OR 97219-7879

Mailing Address0615 Sw Palatine Hill Rd, Msc 101Portland, OR 97219-7879 · (503) 535-1181

Phone(503) 535-1181

Sole ProprietorNo

Enumeration DateJuly 26, 2007

✔ NPI 1750571618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

0615 SW PALATINE HILL RD, Portland, OR 97219

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Justin Leak 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 7

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

DR. KARA POWERS MD

Psychiatry & Neurology (Psychiatry)

0615 SW PALATINE HILL RD, LEWIS AND CLARK COLLEGE COUNSELLING CENTER
PORTLAND, OR 97219

Multnomah County (503) 768-7160

JULIE CAROL RADOSTITZ M.D.

Internal Medicine