Individual provider Active NPI

Leslie Cole, MFT

  • Marriage & Family Therapist
  • Rancho Mirage, CA
National Provider Identifier
1174653349
Registry record updated Aug 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC27741 Issued in CA
Practice address
71777 San Jacinto Dr Ste 204
Rancho Mirage, CA 92270
Phone
(707) 318-4309
Fax
(760) 469-5211
NPI assigned
Mar 6, 2007
Last updated
Aug 23, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC27741 CA Primary

Addresses

Primary practice location

71777 San Jacinto Dr Ste 204
Rancho Mirage, CA 92270

Mailing address

71777 San Jacinto Dr Ste 204
Rancho Mirage, CA 92270-4457
Phone (707) 318-4309

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20241016000582 CA Practitioner - Marriage and Family Therapist 6901338920 Practice locations: Rancho Mirage, CA

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

41750 Rancho Las Palmas Dr
Suite O 3
Rancho Mirage, CA 92270-5515
Phone (707) 318-4309

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27741CAMDClinical Social Worker
MFC27741CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534982400000",
    "number": "1174653349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71777 SAN JACINTO DR STE 204",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922704457",
            "telephone_number": "707-318-4309",
            "fax_number": "760-469-5211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71777 SAN JACINTO DR STE 204",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "92270",
            "telephone_number": "707-318-4309",
            "fax_number": "760-469-5211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE",
        "first_name": "LESLIE",
        "name_prefix": "Mr.",
        "credential": "MFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-06",
        "last_updated": "2018-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC27741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Mirage, CA

Sources for this page

Verify at the official NPI Registry.