Active NPI
Leslie Mitcham
- Rehabilitation Practitioner
- Roseville, CA
National Provider Identifier
1124576087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- Practice address
- 1540 Eureka Rd Ste 100
Roseville, CA 95661-3056 - Phone
- (323) 295-4555
- NPI assigned
- Sep 20, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Rehabilitation Practitioner | 225400000X | Primary |
Addresses
Primary practice location
1540 Eureka Rd Ste 100
Roseville, CA 95661-3056
Mailing address
1540 Eureka Rd Ste 100
Roseville, CA 95661-3056
Phone (530) 276-4099
Other practice location 1
1540 Eureka Rd Ste 100
Roseville, CA 95661-3056
Phone (323) 295-4555
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wayfinder Family Services | Current | Accepting new patients |
Locations
1540 Eureka Rd
Ste 100
Roseville, CA 95661
Phone (530) 722-2233
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Roseville, CA
- NPI 1528848702
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786492800000",
"number": "1124576087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1540 EUREKA RD STE 100",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956613056",
"telephone_number": "530-276-4099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1540 EUREKA RD STE 100",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956613056",
"telephone_number": "323-295-4555"
}
],
"practiceLocations": [
{
"address_1": "1540 Eureka Rd Ste 100",
"address_purpose": "LOCATION",
"city": "Roseville",
"state": "CA",
"postal_code": "956613056",
"country_code": "US",
"telephone_number": "323-295-4555",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MITCHAM",
"first_name": "LESLIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-20",
"last_updated": "2026-08-12",
"certification_date": "2026-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roseville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.