MEDICARE: LEANNE FELTS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	MHCA.MC.61113110	WA

General Provider Information

NPI Number	:	1881536290
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LEANNE FELTS

Provider Business Mailing Address
First Line	:	1322 WASHINGTON ST UNIT 847
Second Line	:
City	:	PORT TOWNSEND
State	:	WA
Zip	:	98368-6780
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1322 WASHINGTON ST UNIT 847
Second Line	:
City	:	PORT TOWNSEND
State	:	WA
Zip	:	98368-6780
Country	:	US
Telephone Number	:	360-316-9259
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/06/2026
Last Update Date	:	04/06/2026

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Directions to “ LEANNE FELTS ” Practice Location

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