Active NPI
Leslie Richardson, LLC
- Community/Behavioral Health Agency
- Lincoln, NE
National Provider Identifier
1093259491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 3827
- Legal business name
- LESLIE RICHARDSON, LLC
- Practice address
- 3201 Pioneers Blvd
112
Lincoln, NE 68502-5963 - Phone
- (402) 486-3110
- NPI assigned
- Dec 5, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Leslie Richardson
- Title
- Owner
- Phone
- (402) 470-7130
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 147 | NE | |
| Community/Behavioral Health Agency | 251S00000X | 3827 | NE | Primary |
| Community/Behavioral Health Agency | 251S00000X | 1136 | NE |
Addresses
Primary practice location
3201 Pioneers Blvd
112
Lincoln, NE 68502-5963
Mailing address
2820 Jane LN
Lincoln, NE 68516-2746
Phone (402) 470-7130
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 98402 | Other | NE | BCBS |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Marriage & Family Therapist
- Lincoln, NE
- NPI 1245488808
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480896000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1480896000000",
"number": "1093259491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2820 JANE LN",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685162746",
"telephone_number": "402-470-7130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3201 PIONEERS BLVD",
"address_2": "112",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685025963",
"telephone_number": "402-486-3110"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LESLIE RICHARDSON, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-12-05",
"last_updated": "2016-12-05",
"status": "A",
"authorized_official_last_name": "RICHARDSON",
"authorized_official_first_name": "LESLIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "402-470-7130"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NE",
"license": "147",
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NE",
"license": "3827",
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NE",
"license": "1136",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "98402",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.