Leslie Fay Dewberry, LLPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401009460 Issued in MI

Practice address

1000 Oakland Dr FL 3
Kalamazoo, MI 49008-1282

Phone

(269) 387-8230

NPI assigned

May 30, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Leslie Fay Cooper 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": "1559174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559174400000",
    "number": "1164080719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6271 ENOLA AVE",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490488110",
            "telephone_number": "269-806-0898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 OAKLAND DR FL 3",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490081282",
            "telephone_number": "269-387-8230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEWBERRY",
        "first_name": "LESLIE",
        "middle_name": "FAY",
        "credential": "LLPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-30",
        "last_updated": "2019-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401009460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LESLIE",
            "last_name": "COOPER",
            "middle_name": "FAY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Karen M Devries, SLP
• Paige Amanda Devries, DO
• Brij M. Dewan, M.D.
• Phyllis Dewaters, LMSW
• Dewberry Counseling Services, LLC
• Christiana Angelina Dewys, PA-C
• Daniel Jay Dexter, OTR/L, CLT, CKTP
• Eva Deyoung, RBT
• Tonya Ro Deyoung, LMT
• Amarpal Kaur Dhaliwal

• All providers in Kalamazoo, MI
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2019; 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.