CARRIE LYNN LEAFBLAD (MA, LPC) – Professional Counselor, NPI 1417620444

CARRIE LYNN LEAFBLAD (MA, LPC) is a healthcare provider. based in Heartland, Texas. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials MA, LPC. They hold a License No. 80496 (TX). The NPI Number for CARRIE LYNN LEAFBLAD (MA, LPC) is 1417620444

Main info

Female
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
CARRIE LYNN LEAFBLAD (MA, LPC)
NPI
1417620444
Phone
(214) 755-8490
Address
2042 PINE KNOT DR
Enumeration Date
27 July 2021
Last Update Date
27 July 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
97252441591183
Graduation Year
2017 (9 years ago)
PAC ID
0840649174
Group Practice PAC ID
9739175225
Professional Enrollment ID
I20231212004019
Address ID
TX751604302TE400XXRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

3,949 MENTAL HEALTH COUNSELOR in TX

Provider Addresses for CARRIE LYNN LEAFBLAD (MA, LPC)

  • 2042 PINE KNOT DR

    HEARTLAND, TX 751268283

    Phone: (214) 755-8490

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-12-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20231212004019IMental Health CounselorTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 75126)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9739175225View full group profile
NameSpecialtyState
Nurse PractitionerTX
P S Y C H I A T R YIL
Clinical Social WorkerTX
Nurse PractitionerTX
Nurse PractitionerTX
Mental Health CounselorTX
Nurse PractitionerTX
P S Y C H I A T R YTX
-TX
-TX

Reviews

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Frequently asked questions

What is the 10-digit NPI for CARRIE LYNN LEAFBLAD (MA, LPC)?
CARRIE LYNN LEAFBLAD (MA, LPC) — NPI 1417620444 — is the standard way to identify this listing.
Is CARRIE LYNN LEAFBLAD (MA, LPC) still practicing?
CARRIE LYNN LEAFBLAD (MA, LPC) is currently listed as active in the public NPI registry.
What healthcare role does CARRIE LYNN LEAFBLAD (MA, LPC) hold?
Scheduling teams often label CARRIE LYNN LEAFBLAD (MA, LPC) under Professional Counselor. Clinical services aligned with this taxonomy classification.
Where should I expect CARRIE LYNN LEAFBLAD (MA, LPC) on a map?
Expect Heartland, Texas as a primary anchor for CARRIE LYNN LEAFBLAD (MA, LPC) unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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