Individual provider Active NPI

Leslye M Tinson, LMFT

  • Marriage & Family Therapist
  • San Jose, CA
National Provider Identifier
1235369679
Registry record updated Aug 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT110060 Issued in CA
Practice address
1 Washington SQ
San Jose, CA 95192-3344
Phone
(408) 279-9513
NPI assigned
Jul 20, 2009
Reactivated
Sep 28, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Mental Health Counselor 101YM0800X
Marriage & Family Therapist 106H00000X LMFT110060 CA Primary

Addresses

Primary practice location

1 Washington SQ
San Jose, CA 95192-3344

Mailing address

1500 Kiely Blvd Ste 2873
Santa Clara, CA 95051-3034
Phone (408) 279-9513

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

State licenses

LicenseStateTypeSpecialty
LMFT110060CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Leslye Tinson LMFT Marriage and Family Therapy Corporation CurrentSince Jun 27, 2021 Accepting new patients

Locations

1500 Kiely Blvd
Ste 2873
Santa Clara, CA 95051

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": "1248048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629072000000",
    "number": "1235369679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 KIELY BLVD STE 2873",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950513034",
            "telephone_number": "408-279-9513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WASHINGTON SQ",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951923344",
            "telephone_number": "408-279-9513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TINSON",
        "first_name": "LESLYE",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-20",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "deactivation_date": "2010-10-19",
        "reactivation_date": "2011-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT110060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2021; 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.