Active NPI
Leslie Roberts, C.A.P.
- Addiction (Substance Use Disorder) Counselor
- Ocala, FL
National Provider Identifier
1104060417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- CERT #2027
- Practice address
- 5664 SW 60TH Avenue
Ocala, FL 34474-5677 - Phone
- (352) 291-5456
- Fax
- (352) 291-5582
- NPI assigned
- Apr 30, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CERT #2027 | FL | Primary |
Addresses
Primary practice location
5664 SW 60TH Avenue
Ocala, FL 34474-5677
Mailing address
5664 SW 60TH Ave
Ocala, FL 34474-5677
Phone (352) 291-5456
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CERT #2027 | Other | FL | C.A.P. |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CERT #2027 | FL | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1241049600000",
"number": "1104060417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5664 SW 60TH AVE",
"city": "OCALA",
"state": "FL",
"postal_code": "344745677",
"telephone_number": "352-291-5456",
"fax_number": "352-291-5582"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5664 SW 60TH AVENUE",
"city": "OCALA",
"state": "FL",
"postal_code": "344745677",
"telephone_number": "352-291-5456",
"fax_number": "352-291-5582"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "LESLIE",
"name_prefix": "Mr.",
"credential": "C.A.P.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-04-30",
"last_updated": "2009-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "FL",
"license": "CERT #2027",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "C.A.P.",
"identifier": "CERT #2027",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ocala, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.