- Practice location
- Po Box 182, Woodbury, VT 05681-0182
- Phone
- 802-461-6113
- Fax
- —
- Last updated
- January 18, 2025
Jakob Leistner is a Counselor, Mental Health based in Woodbury, VT. Jakob Leistner practices in Woodbury, VT and has the professional credentials of MA, LCMHC. The NPI Number for Jakob Leistner is 1336205335 and holds a License No. 68-495 (VT). The current practice location address for Jakob Leistner is Po Box 182, Woodbury, VT 05681-0182 and can be reached out via phone at 802-461-6113.
Provider Profile Details
- NPI Number
- 1336205335
- Provider Name
- Jakob Leistner
- Credential
- MA, LCMHC
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- Po Box 182, Woodbury, VT 05681-0182
- Phone Number
- 802-461-6113
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- December 28, 2006
- Last Update Date
- January 18, 2025
- Certification Date
- January 18, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- Po Box 182
Woodbury, VT 05681-0182 - City
- Woodbury
- State
- Vermont
- Zip
- 05681-0182
- Phone Number
- 802-461-6113
Provider Business Mailing Address Details
- Address
- Po Box 182
Woodbury, VT 05681-0182 - City
- Woodbury
- State
- VT
- Zip
- 05681-0182
- Phone Number
- 802-461-6113
License Information
- License Number
- 68-495
- License State
- VT
- Taxonomy
- Counselor, Mental Health · 101YM0800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Counselor, Mental Health providers near Woodbury, VT
View all Counselor, Mental Health providers in Woodbury →Frequently Asked Questions
What is the NPI number of Jakob Leistner, MA, LCMHC?
The NPI number of Jakob Leistner, MA, LCMHC is 1336205335. It was assigned on December 28, 2006 and is currently active in the NPPES registry.
What is the specialty of Jakob Leistner, MA, LCMHC?
Jakob Leistner, MA, LCMHC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in VT under license number 68-495.
Where does Jakob Leistner, MA, LCMHC practice?
The practice location is Po Box 182, Woodbury, VT 05681-0182. The office can be reached at 802-461-6113 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1336205335 directly on the NPPES registry website.