Individual provider Active NPI

Lynda Hale Leslie, LCSW

  • Mental Health Counselor
  • Midlothian, VA
National Provider Identifier
1003976580
Registry record updated Oct 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
09044005775 Issued in VA
Practice address
1700 Huguenot Rd
Suite D
Midlothian, VA 23113-2397
Phone
(804) 263-3775
Fax
(804) 325-1670
NPI assigned
Dec 12, 2006
Last updated
Oct 3, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 09044005775 VA Primary

Addresses

Primary practice location

1700 Huguenot Rd
Suite D
Midlothian, VA 23113-2397

Mailing address

1700 Huguenot Rd
Suite D
Midlothian, VA 23113-2397
Phone (804) 263-3775

Other identifiers 4

IdentifierTypeStateIssuer
146391OtherVAANTHEM
010052114MedicaidVA
086279MOtherVASENTARA
540505877OtherVATRICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050909000927 VA Practitioner - Clinical Social Worker 7810929866 Practice locations: Midlothian, VA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
09044005775VAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth Catholic Charities PastSince Oct 20, 2015 Accepting new patients
C2 Your Health, PC Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380758400000",
    "number": "1003976580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 HUGUENOT RD",
            "address_2": "SUITE D",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231132397",
            "telephone_number": "804-263-3775",
            "fax_number": "804-325-1670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 HUGUENOT RD",
            "address_2": "SUITE D",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231132397",
            "telephone_number": "804-263-3775",
            "fax_number": "804-325-1670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESLIE",
        "first_name": "LYNDA",
        "middle_name": "HALE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2013-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "09044005775",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "146391",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010052114",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SENTARA",
            "identifier": "086279M",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "540505877",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, VA

Sources for this page

Verify at the official NPI Registry.