Individual provider Active NPI

Leslie Kohler, M.ED., CCC-SLP

  • Speech-Language Pathologist
  • Fort Smith, AR
National Provider Identifier
1104040542
Registry record updated Feb 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2078 Issued in AR
Practice address
6301 Highway 45 Ste B
Fort Smith, AR 72916-8857
Phone
(479) 763-1412
Fax
(479) 763-1425
NPI assigned
Apr 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2078 AR Primary

Addresses

Primary practice location

6301 Highway 45 Ste B
Fort Smith, AR 72916-8857

Mailing address

6301 Highway 45 Ste B
Fort Smith, AR 72916-8857
Phone (479) 763-1412

Other names 1

  • Leslie Brixey Former name

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
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
2078ARMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Brixey Therapy Services Speech-Language Pathologist Current Accepting new patients
Brixey Therapy Services CurrentSince Mar 1, 2023 Accepting new patients
Arkansas Pediatric Therapy Past Accepting new patients

Locations

9220 Highway 71 S
Ste 10
Fort Smith, AR 72916
Phone (479) 646-2555

6301 Highway 45
Ste B
Fort Smith, AR 72916
Phone (479) 322-0546

Organizations & group practices 3

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": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675296000000",
    "number": "1104040542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6301 HIGHWAY 45 STE B",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729168857",
            "telephone_number": "479-763-1412",
            "fax_number": "479-763-1425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6301 HIGHWAY 45 STE B",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729168857",
            "telephone_number": "479-763-1412",
            "fax_number": "479-763-1425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOHLER",
        "first_name": "LESLIE",
        "credential": "M.ED., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-13",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "2078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LESLIE",
            "last_name": "BRIXEY",
            "credential": "M.ED., CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Smith, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.