Leslie Ann Russell-Martin, M.S. LMFT PH.D. LP

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

LP4924 Issued in MN

Practice address

16016 233Rd St
Little Falls, MN 56345-5583

Phone

(320) 632-5524

Fax

(888) 991-2741

NPI assigned

Oct 13, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MN

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

Specialty

Clinical Psychologist

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

True Balance LTDGroup PAC ID 5597833525, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, 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.

• True Balance LTD

  • Multi-Specialty Clinic/Center
  • Little Falls, MN
  • NPI 1205025442

  Clinical Neuropsychologist

  Medicare reassignment Care Compare group NPD Authorized official
• Being Balanced Psychological Services PLLC

  • Clinical Neuropsychologist
  • Franklin, TN
  • NPI 1629842364
  NPD Authorized official

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698105600000",
    "number": "1073603163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15920 233RD ST",
            "city": "LITTLE FALLS",
            "state": "MN",
            "postal_code": "563455592",
            "telephone_number": "320-632-5524",
            "fax_number": "888-991-2741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16016 233RD ST",
            "city": "LITTLE FALLS",
            "state": "MN",
            "postal_code": "563455583",
            "telephone_number": "320-632-5524",
            "fax_number": "888-991-2741"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "228 Krays Mill Rd",
            "address_purpose": "LOCATION",
            "city": "Cold Spring",
            "state": "MN",
            "postal_code": "563204563",
            "country_code": "US",
            "telephone_number": "320-632-5524",
            "fax_number": "888-991-2741",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUSSELL-MARTIN",
        "first_name": "LESLIE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "M.S. LMFT PH.D. LP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP4924",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "MN #1351",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "MN",
            "license": "LP4924",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "360040800",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MN PROVIDER NUMBE",
            "identifier": "730T3RU",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caitlin Francis Riordan, BSN RN PHN
• Kelsey Ramage Rogers Corrigan, CNP
• Elisabeth Ruby, LMFT
• Scott Rudnicki, PHARMD
• Rural AIDS Action Network
• Elaina Sand, MSW, LICSW
• Leslie Marie Sandy, LICSW. LADC
• Jasmin Sanoski, FNP
• Trista Saulter, DPT
• Trent D Schmidgall, DPT

• Clinical Neuropsychologist in Little Falls, MN
• Providers in Little Falls, MN by specialty
• Clinical Neuropsychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.