Active NPI
Leslie James Brown, CASAC-T
- Addiction (Substance Use Disorder) Counselor
- East Elmhurst, NY
National Provider Identifier
1114251857
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- CASAC-T 23862
- Practice address
- 2439 Ericsson St
East Elmhurst, NY 11369-1607 - Phone
- (347) 848-4446
- Fax
- (347) 617-1012
- NPI assigned
- Sep 29, 2009
- Sex
- Male
- Sole proprietor
- No
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 | CASAC-T 23862 | NY | Primary |
Addresses
Primary practice location
2439 Ericsson St
East Elmhurst, NY 11369-1607
Mailing address
2439 Ericsson St
East Elmhurst, NY 11369-1607
Phone (347) 848-4446
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 23862 | Other | NY | CASAC-T |
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 |
|---|---|---|---|
| CASAC-T 23862 | NY | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254182400000",
"number": "1114251857",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2439 ERICSSON ST",
"city": "EAST ELMHURST",
"state": "NY",
"postal_code": "113691607",
"telephone_number": "347-848-4446",
"fax_number": "347-617-1012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2439 ERICSSON ST",
"city": "EAST ELMHURST",
"state": "NY",
"postal_code": "113691607",
"telephone_number": "347-848-4446",
"fax_number": "347-617-1012"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "LESLIE",
"middle_name": "JAMES",
"name_prefix": "Mr.",
"credential": "CASAC-T",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-09-29",
"last_updated": "2009-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NY",
"license": "CASAC-T 23862",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CASAC-T",
"identifier": "23862",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in East Elmhurst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.