Individual provider Active NPI

Leslie Bellair, M.ED., CCC-SLP

  • Speech-Language Pathologist
  • West Lake Hills, TX
National Provider Identifier
1184855165
Registry record updated Apr 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
118356 Issued in TX
Practice address
601 Camp Craft Rd
West Lake Hills, TX 78746-6511
Phone
(512) 732-9000
NPI assigned
Aug 7, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLP006907 GA
Speech-Language Pathologist 235Z00000X 118356 TX Primary

Addresses

Primary practice location

601 Camp Craft Rd
West Lake Hills, TX 78746-6511

Mailing address

7216 Covered Bridge Dr
Austin, TX 78736-3344
Phone (404) 406-7457

Other practice location 1

1230 Johnson Ferry Pl
Suite I-20
Marietta, GA 30068-2048
Phone (770) 321-6705

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Austin

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 Education

State licenses

LicenseStateTypeSpecialty
118356TXMDOccupational Therapist
SLP006907GAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1249603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650844800000",
    "number": "1184855165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7216 COVERED BRIDGE DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787363344",
            "telephone_number": "404-406-7457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 CAMP CRAFT RD",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787466511",
            "telephone_number": "512-732-9000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1230 Johnson Ferry Pl",
            "address_2": "Suite I-20",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300682048",
            "country_code": "US",
            "telephone_number": "770-321-6705",
            "fax_number": "404-551-3891",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BELLAIR",
        "first_name": "LESLIE",
        "credential": "M.ED., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-07",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP006907",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "118356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Austin",
            "affiliation": "N",
            "address_1": "601 Camp Craft Rd",
            "city": "West Lake Hills",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787466511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Lake Hills, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.