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Fallon Kirby Leiseth

NPI 1104467174ActiveIndividual· Counselor, Mental Health· Williston, ND

Counselor, Mental Health in Williston, North Dakota, with an NPI issued in October 2019.

Overview

NPI1104467174
StatusActive
Entity typeIndividual
Sole proprietorYes
NPI issuedOct 1, 2019
Last updated in NPPESNov 12, 2024
Certified by providerNov 8, 2024

Specialties and licenses

TaxonomyCodeLicenseState
Counselor, Mental Health Primary101YM0800X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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