Leslee Marcom, PHD

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

37059 Issued in TX

Practice address

5120 Legacy Dr
Plano, TX 75024-3399

Phone

(972) 476-0814

NPI assigned

Oct 31, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Eating Recovery Center of Texas

  • Psychiatric Hospital
  • Plano, TX
  • NPI 1366080962
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1730332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1003638826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5120 LEGACY DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750243399",
            "telephone_number": "972-476-0814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5120 LEGACY DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750243399",
            "telephone_number": "972-476-0814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCOM",
        "first_name": "LESLEE",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-31",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "TX",
            "license": "37059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amr Marawan, M.D.
• Shavon Nicole March, ACNP
• Cleopatra Marchese, BS, IBCLC, RLC
• Marci Holloway, LCSW
• Marcia L Taylor, MD, PA
• Lucille Gloria Marcoux, A.N.P.
• John F. Marcucci, M.D.
• Maayan Marcus, RN
• Marcy L. Berry, MD, PA
• Charles B Marder, DPM

• Counseling Psychologist in Plano, TX
• Providers in Plano, TX by specialty
• Counseling Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; 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.