Cassidy Anne Leslie, CO60751979

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CP60944490 Issued in WA

Practice address

307 W Walnut St
Yakima, WA 98902-3446

Phone

(509) 453-4301

NPI assigned

Oct 22, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Cassidy Anne Smith Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1540166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743724800000",
    "number": "1114493731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 W WALNUT ST",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023446",
            "telephone_number": "509-453-4301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 W WALNUT ST",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023446",
            "telephone_number": "509-453-4301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESLIE",
        "first_name": "CASSIDY",
        "middle_name": "ANNE",
        "credential": "CO60751979",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-22",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP60944490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CASSIDY",
            "last_name": "SMITH",
            "middle_name": "ANNE",
            "credential": "SUDP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Leo Lowe Mental Health Counseling
• Daryl Jefferies Leonard, RN
• Stuart L Leonard
• Faleuli Leota, SUDPT
• Anastacio Lepe
• Chelsy Leslie, RD, CD
• Eric Gregory Leung, M.D.
• Ann Marie Leupold
• Noah Jeffrey Levine, MD
• Casey Lewis, L.M.T

• Addiction (Substance Use Disorder) Counselor in Yakima, WA
• Providers in Yakima, WA by specialty
• Addiction (Substance Use Disorder) Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2025; 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.