Individual provider Active NPI

Leslie Ann Passalacqua, LPC

  • Professional Counselor
  • Pflugerville, TX
National Provider Identifier
1215312699
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
73032 Issued in TX
Practice address
821 Grand Avenue Pkwy Ste 106
Pflugerville, TX 78660-2197
Phone
(512) 423-7331
Fax
(512) 423-7331
NPI assigned
Jul 27, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X
Professional Counselor 101YP2500X 73032 TX Primary

Addresses

Primary practice location

821 Grand Avenue Pkwy Ste 106
Pflugerville, TX 78660-2197

Mailing address

821 Grand Avenue Pkwy Ste 106
Pflugerville, TX 78660-2197
Phone (512) 423-7331

Other practice location 1

11615 Angus Rd
Suite 117A
Austin, TX 78759-4078
Phone (512) 423-7331

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

Practice roles

OrganizationSpecialtyStatusNew patients
Akuji Counseling, LLC Professional Current Accepting new patients

Locations

821 Grand Avenue Pkwy
Ste 106
Pflugerville, TX 78660
Phone (512) 423-7331

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1437955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1215312699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 GRAND AVENUE PKWY STE 106",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786602197",
            "telephone_number": "512-423-7331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 GRAND AVENUE PKWY STE 106",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786602197",
            "telephone_number": "512-423-7331",
            "fax_number": "512-423-7331"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11615 Angus Rd",
            "address_2": "Suite 117A",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787594078",
            "country_code": "US",
            "telephone_number": "512-423-7331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PASSALACQUA",
        "first_name": "LESLIE",
        "middle_name": "ANN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-27",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "73032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pflugerville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.