Individual provider Active NPI

Leslie Shelton, MA LPC

  • Professional Counselor
  • Denver, CO
National Provider Identifier
1104428663
Registry record updated Nov 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC0016315 Issued in CO
Practice address
3222 E. 1St Ave. Suite 627
Denver, CO 80206-5854
Phone
(214) 298-5552
NPI assigned
Nov 10, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC0016315 CO
Mental Health Counselor 101YM0800X 18398 TX
Professional Counselor 101YP2500X 18398 TX
Professional Counselor 101YP2500X LPC0016315 CO Primary

Addresses

Primary practice location

3222 E. 1St Ave. Suite 627
Denver, CO 80206-5854

Mailing address

3222 E 1St Ave Suite 627
Denver, CO 80206-5854
Phone (214) 298-5552

Other practice location 1

3222 E 1st Ave Apt 627
Denver, CO 80206-5854
Phone (214) 298-5552

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 Arts

State licenses

LicenseStateTypeSpecialty
LPC0016315COMDMental Health Counselor
18398TXMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1604966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604966400000",
    "number": "1104428663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3222 E 1ST AVE SUITE 627",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802065854",
            "telephone_number": "214-298-5552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3222 E. 1ST AVE. SUITE 627",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802065854",
            "telephone_number": "214-298-5552"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3222 E 1st Ave Apt 627",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802065854",
            "country_code": "US",
            "telephone_number": "214-298-5552",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHELTON",
        "first_name": "LESLIE",
        "credential": "MA LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-10",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPC0016315",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "18398",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "18398",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC0016315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2020; 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.