Active NPI
Leslie C Preveaux
- Counselor
- Sugar Hill, GA
National Provider Identifier
1063188597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 5607 Blanchard PL
Sugar Hill, GA 30518-7930 - Phone
- (404) 207-5253
- NPI assigned
- Aug 16, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Counselor | 225C00000X | |||
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
5607 Blanchard PL
Sugar Hill, GA 30518-7930
Mailing address
5607 Blanchard PL
Sugar Hill, GA 30518-7930
Phone (404) 207-5253
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630886400000",
"number": "1063188597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5607 BLANCHARD PL",
"city": "SUGAR HILL",
"state": "GA",
"postal_code": "305187930",
"telephone_number": "404-207-5253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5607 BLANCHARD PL",
"city": "SUGAR HILL",
"state": "GA",
"postal_code": "305187930",
"telephone_number": "404-207-5253"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PREVEAUX",
"first_name": "LESLIE",
"middle_name": "C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-16",
"last_updated": "2021-09-06",
"certification_date": "2021-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "225C00000X",
"taxonomy_group": "",
"desc": "Rehabilitation Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sugar Hill, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.