Leslie Canjura

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1909 University Ave
Berkeley, CA 94704-1023

Phone

(510) 809-3004

NPI assigned

Jan 7, 2020

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

Electronic endpoints 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Bonita House, Inc.

  • Community/Behavioral Health Agency
  • Berkeley, CA
  • NPI 1811559735
  NPD
• Bonita House, Inc.

  • Community/Behavioral Health Agency
  • Oakland, CA
  • NPI 1902253016
  NPD (past)

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

{
    "created_epoch": "1578355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578355200000",
    "number": "1265072383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1909 UNIVERSITY AVE",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947041023",
            "telephone_number": "510-809-3004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1909 UNIVERSITY AVE",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947041023",
            "telephone_number": "510-809-3004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANJURA",
        "first_name": "LESLIE",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-07",
        "last_updated": "2020-01-07",
        "certification_date": "2020-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Berkeley",
            "affiliation": "N",
            "endpointDescription": "BWC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "6333 Telegraph Ave",
            "city": "Oakland",
            "state": "CA",
            "country_code": "US",
            "postal_code": "946091359",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Berkeley",
            "affiliation": "N",
            "endpointDescription": "BWC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "6333 Telegraph Ave",
            "city": "Oakland",
            "state": "CA",
            "country_code": "US",
            "postal_code": "946091359",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Berkeley",
            "affiliation": "N",
            "endpointDescription": "BWC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "6333 Telegraph Ave",
            "city": "Oakland",
            "state": "CA",
            "country_code": "US",
            "postal_code": "946091359",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "oakland",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1909 University Ave",
            "city": "Berkeley",
            "state": "CA",
            "country_code": "US",
            "postal_code": "947041023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tiffany L Canady
• Ariana Candell, M.A.
• Thomas L Cane, DDS
• Luara Canedo
• Caroline Cangelosi, LCSW
• Alice Cannan, N.P.
• Alexis Cannedy
• Nancy Canning, PSY.D.
• Eliza Cantor, LMFT
• Andrew Lam Cao, RN

• Mental Health Counselor in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2020; 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.