Jakob Leistner, MA, LCMHC is a
Counselor - Mental Health based in Woodbury, Vermont. Jakob Leistner is licensed to practice in Vermont (license number 68-495) and his current practice location is
Po Box 182, Woodbury, Vermont. He can be reached at his office (for appointments etc.) via phone at
(802) 461-6113.
NPI number for Jakob Leistner is 1336205335 and his current mailing address is Po Box 182, Woodbury, Vermont. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1336205335.
Healthcare Provider's Profile
Full Name | Jakob Leistner |
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Gender | Male |
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Speciality | Counselor - Mental Health |
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Location | Po Box 182, Woodbury, Vermont |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1336205335
- Provider Enumeration Date: 12/28/2006
- Last Update Date: 01/18/2025
Medical Identifiers
Medical identifiers for Jakob Leistner such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1336205335 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 68-495 (Vermont) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jakob Leistner is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jakob Leistner, MA, LCMHC Po Box 182, Woodbury, VT 05681-0182 Ph: (802) 461-6113 | Jakob Leistner, MA, LCMHC Po Box 182, Woodbury, VT 05681-0182 Ph: (802) 461-6113 |
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