Active NPI
Leslie Greene, LCSW
- Addiction (Substance Use Disorder) Counselor
- South Pasadena, FL
National Provider Identifier
1215099429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 5428
- Practice address
- 1135 Pasadena Ave S Ste 231
South Pasadena, FL 33707-2855 - Phone
- (727) 381-4313
- Fax
- (727) 231-0889
- NPI assigned
- Dec 14, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | SW4706 | FL | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 5428 | FL | Primary |
Addresses
Primary practice location
1135 Pasadena Ave S Ste 231
South Pasadena, FL 33707-2855
Mailing address
1135 Pasadena Ave S Ste 231
South Pasadena, FL 33707-2855
Phone (727) 381-4313
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5428 | FL | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363651200000",
"number": "1215099429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1135 PASADENA AVE S STE 231",
"city": "SOUTH PASADENA",
"state": "FL",
"postal_code": "337072855",
"telephone_number": "727-381-4313",
"fax_number": "727-231-0889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1135 PASADENA AVE S STE 231",
"city": "SOUTH PASADENA",
"state": "FL",
"postal_code": "337072855",
"telephone_number": "727-381-4313",
"fax_number": "727-231-0889"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENE",
"first_name": "LESLIE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-14",
"last_updated": "2013-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "FL",
"license": "SW4706",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "FL",
"license": "5428",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Pasadena, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.