Active NPI
Leslie Carol Lien, SLP
- Speech-Language Pathologist
- Dickinson, ND
National Provider Identifier
1023100377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 890
- Practice address
- 227 16TH St W
Suite 100
Dickinson, ND 58601-4660 - Phone
- (701) 225-0767
- Fax
- (701) 225-7123
- NPI assigned
- Sep 28, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 890 | ND | Primary |
Addresses
Primary practice location
227 16TH St W
Suite 100
Dickinson, ND 58601-4660
Mailing address
786 Albany St
Delta, CO 81416-6401
Phone (701) 590-2598
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 54839 | Medicaid | ND | |
| 24573 | Other | ND | BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 890 | ND | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Applied Medical, Inc | Speech-Language Pathologist | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724198400000",
"number": "1023100377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "786 ALBANY ST",
"city": "DELTA",
"state": "CO",
"postal_code": "814166401",
"telephone_number": "701-590-2598",
"fax_number": "701-225-7123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "227 16TH ST W",
"address_2": "SUITE 100",
"city": "DICKINSON",
"state": "ND",
"postal_code": "586014660",
"telephone_number": "701-225-0767",
"fax_number": "701-225-7123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIEN",
"first_name": "LESLIE",
"middle_name": "CAROL",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-28",
"last_updated": "2024-08-21",
"certification_date": "2024-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "ND",
"license": "890",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "54839",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "24573",
"state": "ND"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dickinson, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.