SHANNON T LEACH BA CMS
NPI 1942772074
Counselor in Louisville, KY

Q: What is Shannon Leach's NPI number?

The NPI number for Shannon Leach is 1942772074. It was assigned to this individual provider in the NPPES registry on December 31, 2018.

Q: What is Shannon Leach's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shannon Leach was last updated on December 31, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 December 31, 2018

4835 POPLAR LEVEL RD STE 110, LOUISVILLE, KY 40213(502) 443-5273(502) 631-9660 Get Directions Write a Review

NPPES record last updated: December 31, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Shannon T Leach Ba Cms NPPES

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

SHANNON T LEACH BA CMS (NPI 1942772074) is an individual counselor in Louisville, Kentucky and active in the NPI registry since December 2018.

NPPES Registry Identity

NPI1942772074

Entity TypeIndividualMale

Primary Taxonomy101Y00000X

Provider Legal NameSHANNON T LEACHCredential: BA CMS

Location Address4835 POPLAR LEVEL RD STE 110Louisville, KY 40213-2906

Mailing Address11110 Little Spring BlvdLouisville, KY 40291-5066 · (502) 712-8905

Phone(502) 443-5273

Fax(502) 631-9660

Sole ProprietorYes

Enumeration DateDecember 31, 2018

✔ NPI 1942772074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

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.

4835 POPLAR LEVEL RD STE 110, Louisville, KY 40213

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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

Other Providers at the Same Location NPPES 17

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

ANDREA LILLIAN COLLINS RATLIFF

Community Health Worker