Leslie E Cole, D.MIN.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC001575 Issued in GA

Practice address

3532 Tritt Springs Way NE
Marietta, GA 30062-5274

Phone

(770) 608-1715

NPI assigned

Dec 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA, TX2 enrollments

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 2

Specialty

Mental Health Counselor

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Ascend Medical Georgia II PCGroup PAC ID 0547657181, 16 clinicians

Ascend Medical Georgia PCGroup PAC ID 8820488745, 24 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: leslie.cole.1@30437.direct.athenahealth.com

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.

• Ascend Medical Georgia II PC

  • Psychiatry Physician
  • Atlanta, GA
  • NPI 1659966075
  Medicare reassignment Care Compare group NPD
• Ascend Medical Georgia PC

  • Family Medicine Physician
  • Atlanta, GA
  • NPI 1841800836
  Medicare reassignment Care Compare group NPD
• Ascend Medical Austin Texas, PA

  • Family Medicine Physician
  • Austin, TX
  • NPI 1366015794
  Medicare reassignment NPD
• Northside Psychological Services, Inc.

  • Mental Health Counselor
  • Alpharetta, GA
  • NPI 1568527505

  Professional

  NPD (past)
• Outpatient Behavioral Health, LLC

  dba Northside Psychological Services

  • Mental Health Counselor
  • Alpharetta, GA
  • NPI 1700498979

  Professional

  NPD (past)

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640822400000",
    "number": "1205991379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3532 TRITT SPRINGS WAY NE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300625274",
            "telephone_number": "770-608-1715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3532 TRITT SPRINGS WAY NE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300625274",
            "telephone_number": "770-608-1715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE",
        "first_name": "LESLIE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "D.MIN.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-27",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC001575",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "204488815A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachelle Coker
• Kathy J. Colapinto, AAA, AUD
• Carlisha Shaneye Colbert, PHARM.D
• Anne-Marie Valerie Cole, MD
• Jim Cole
• Sherry M Coleman Collins, RDN
• Bruce Coleman III, PHARM D
• Jamikca Kassina Coleman
• Jessica Coleman
• Lia Coleman

• Professional Counselor in Marietta, GA
• Providers in Marietta, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.