Leslie Fazio

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PCOP828 Issued in AK

Practice address

43335 K Beach Rd Ste 16B
Soldotna, AK 99669-8250

Phone

(907) 290-5540

NPI assigned

Mar 6, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AK

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

Specialty

Mental Health Counselor

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Alaskan Roots Counseling LLC

  • Professional Counselor
  • Soldotna, AK
  • NPI 1972385946
  NPD Authorized official
• Kenai Peninsula Mental Health LLC

  • Professional Counselor
  • Soldotna, AK
  • NPI 1588135776
  NPD

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

{
    "created_epoch": "1614988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773273600000",
    "number": "1225623762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 463",
            "city": "KENAI",
            "state": "AK",
            "postal_code": "996110463",
            "telephone_number": "907-460-0778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43335 K BEACH RD STE 16B",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996698250",
            "telephone_number": "907-290-5540"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "35186 Kenai Spur Hwy Ste B",
            "address_purpose": "LOCATION",
            "city": "Soldotna",
            "state": "AK",
            "postal_code": "996697620",
            "country_code": "US",
            "telephone_number": "907-290-5540",
            "fax_number": "907-313-2851",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAZIO",
        "first_name": "LESLIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-06",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AK",
            "license": "PCOP828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Way Home Birth Services, Inc.
• Christine Marie Fanelli, APRN
• Alannah Farlow, RBT
• Nancy Farrington, RN, BSN, MSN
• Amanda Faulkner
• Teresa Ann Ferguson
• Sara J Fick
• Garret Jackson Finch
• Valerie B Flake
• Katherine R Flanders

• Professional Counselor in Soldotna, AK
• Providers in Soldotna, AK by specialty
• Professional Counselor in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2026; 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.