MR. PAUL KELLETT VAN LEER
NPI 1962994269
Counselor - Professional in Washington, DC

Active since June 01, 2018Opted out of Medicare · through Mar 27, 2028
2704 DUMBARTON ST NW, WASHINGTON, DC 20007(202) 876-4171 Get Directions Write a Review

NPPES record last updated: June 1, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Paul Kellett Van Leer NPPES

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

MR. PAUL KELLETT VAN LEER (NPI 1962994269) is an individual professional provider in Washington, District Of Columbia, licensed in District Of Columbia (LGPC00397) and active in the NPI registry since June 2018. He has opted out of Medicare through March 27, 2028 and maintains a secondary practice location in Washington.

NPPES Registry Identity

NPI1962994269
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. PAUL KELLETT VAN LEER
Location Address2704 DUMBARTON ST NWWashington, DC 20007-3321
Mailing Address2704 Dumbarton St NwWashington, DC 20007-3321 · (202) 876-4171
Sole ProprietorYes
Enumeration DateJune 1, 2018
NPI 1962994269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in DC · LGPC00397
Also ListedPsychoanalystTaxonomy 102L00000X · License 06158139
2704 DUMBARTON ST NW, Washington, DC 20007

Secondary Practice Location 1

Location 11112 16th St NW Ste 440Washington, DC 20036-4820 · Phone (202) 876-4171

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Mr. Paul Kellett Van Leer has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 27, 2024 through March 27, 2028.

Opt-Out Effective DateMarch 27, 2024
Opt-Out In Effect ThroughMarch 27, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Paul Kellett Van Leer's NPI number?

The NPI number for Paul Kellett Van Leer is 1962994269. It was assigned to this individual provider in the NPPES registry on June 1, 2018.

Where is Paul Kellett Van Leer located?

Paul Kellett Van Leer practices at 2704 Dumbarton St NW, Washington, DC 20007. The listed phone number is (202) 876-4171.

What is Paul Kellett Van Leer's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Paul Kellett Van Leer enrolled in Medicare?

No. Paul Kellett Van Leer has opted out of Medicare through March 27, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Paul Kellett Van Leer was last updated on June 1, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.