Leslie Erin Bolock, MA, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2289 Issued in WV

Practice address

2606 National Rd
Wheeling, WV 26003-5370

Phone

(304) 242-7060

NPI assigned

Nov 2, 2017

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 2, 2017.

{
    "created_epoch": "1509580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509580800000",
    "number": "1003328857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2606 NATIONAL RD",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260035370",
            "telephone_number": "304-242-7060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2606 NATIONAL RD",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260035370",
            "telephone_number": "304-242-7060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLOCK",
        "first_name": "LESLIE",
        "middle_name": "ERIN",
        "name_prefix": "Mrs.",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-02",
        "last_updated": "2017-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WV",
            "license": "2289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy Bober, FNP
• Melyssa Boehm
• Jalynn Nicole Boggs
• Katie Lynn Bolduc, PA-C
• Kristi Bolen
• Joshua E Bommer, MAAT
• Sharon Bondy
• Ernest J Bonitatibus, MD
• Reese Bortle
• Amanda Bow

• All providers in Wheeling, WV
• Professional Counselor in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.