Individual provider Active NPI

Marie Leskauskas, LCMHCA, LAC, MA

  • Mental Health Counselor
  • Davidson, NC
National Provider Identifier
1124768403
Registry record updated Apr 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A16779 Issued in NC
Practice address
709 Peninsula Dr
Davidson, NC 28036-7200
Phone
(704) 918-3380
Fax
(980) 689-2738
NPI assigned
Apr 1, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 37AC00485800 NJ
Mental Health Counselor 101YM0800X A16779 NC Primary

Addresses

Primary practice location

709 Peninsula Dr
Davidson, NC 28036-7200

Mailing address

709 Peninsula Dr
Davidson, NC 28036-7200
Phone (704) 918-3380

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address marie.leskauskas@wisdomintegrativecounseling.com Direct

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
A16779NCMDMental Health Counselor
37AC00485800NJMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1648771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648771200000",
    "number": "1124768403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 PENINSULA DR",
            "city": "DAVIDSON",
            "state": "NC",
            "postal_code": "280367200",
            "telephone_number": "704-918-3380",
            "fax_number": "980-689-2738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 PENINSULA DR",
            "city": "DAVIDSON",
            "state": "NC",
            "postal_code": "280367200",
            "telephone_number": "704-918-3380",
            "fax_number": "980-689-2738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESKAUSKAS",
        "first_name": "MARIE",
        "credential": "LCMHCA, LAC, MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-01",
        "last_updated": "2022-04-01",
        "certification_date": "2022-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37AC00485800",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A16779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "marie.leskauskas@wisdomintegrativecounseling.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "709 Peninsula Dr",
            "city": "Davidson",
            "state": "NC",
            "country_code": "US",
            "postal_code": "280367200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Davidson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2022; 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.