Individual provider Active NPI

Leslie Urbanek

  • Professional Counselor
  • Cheyenne, WY
National Provider Identifier
1134769581
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-2189 Issued in WY
Practice address
623 W 20TH St
Cheyenne, WY 82001-3501
Phone
(307) 222-2013
Fax
(307) 316-8792
NPI assigned
Jan 14, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X WY
Professional Counselor 101YP2500X LPC-2189 WY Primary
Counselor 101Y00000X PPC-1171 WY

Addresses

Primary practice location

623 W 20TH St
Cheyenne, WY 82001-3501

Mailing address

PO Box 1842
Cheyenne, WY 82003-1842

Other practice location 1

4025 Rawlins St
Cheyenne, WY 82001-1900
Phone (307) 426-4797

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250213001304 WY Practitioner - Mental Health Counselor 3375982275 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PPC-1171WYMDCounselor
LPC-2189WYMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Through the Woods Wellness and Counseling CurrentSince Dec 7, 2024 Accepting new patients

Locations

623 W 20th St
Cheyenne, WY 82001
Phone (307) 222-9651

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.

NPI Registry JSON

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

{
    "created_epoch": "1578960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701907200000",
    "number": "1134769581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1842",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820031842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 W 20TH ST",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820013501",
            "telephone_number": "307-222-2013",
            "fax_number": "307-316-8792"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4025 Rawlins St",
            "address_purpose": "LOCATION",
            "city": "Cheyenne",
            "state": "WY",
            "postal_code": "820011900",
            "country_code": "US",
            "telephone_number": "307-426-4797",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "URBANEK",
        "first_name": "LESLIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-14",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WY",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WY",
            "license": "LPC-2189",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WY",
            "license": "PPC-1171",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheyenne, WY

Sources for this page

Verify at the official NPI Registry.