Active NPI
Lesley R Eaton, MA, MFT
- Mental Health Counselor
- Indianapolis, IN
National Provider Identifier
1265744726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 35001960A
- Practice address
- 7165 Clearvista Way
Indianapolis, IN 46256 - Phone
- (317) 621-5719
- NPI assigned
- Jul 12, 2010
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFT.0001408 | CO | |
| Mental Health Counselor | 101YM0800X | 35001960A | IN | Primary |
Addresses
Primary practice location
7165 Clearvista Way
Indianapolis, IN 46256
Mailing address
6626 E 75TH St Ste 500
Indianapolis, IN 46250-2890
Other practice location 1
1304 Chinook Ln
Pueblo, CO 81001-1851
Phone (719) 545-2746
Other practice location 2
1304 Chinook Ln
Pueblo, CO 81001-1851
Phone (719) 545-2746
Other names 1
- Lesley R Gillum
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | LGILLUM165368@ECOMMUNITYDIRECT.COM | Community Health Network, Inc |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFT.0001408 | CO | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Network, Inc. | Past | Accepting new patients |
Interoperability endpoints
- lgillum165368@ecommunitydirect.com
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.
-
- Psychiatric Hospital Unit
- Indianapolis, IN
- NPI 1679545966
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756252800000",
"number": "1265744726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6626 E 75TH ST STE 500",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462502890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7165 CLEARVISTA WAY",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "46256",
"telephone_number": "317-621-5719"
}
],
"practiceLocations": [
{
"address_1": "1304 Chinook Ln",
"address_purpose": "LOCATION",
"city": "Pueblo",
"state": "CO",
"postal_code": "810011851",
"country_code": "US",
"telephone_number": "719-545-2746",
"fax_number": "719-584-0110",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1304 Chinook Ln",
"address_purpose": "LOCATION",
"city": "Pueblo",
"state": "CO",
"postal_code": "810011851",
"country_code": "US",
"telephone_number": "719-545-2746",
"fax_number": "719-584-0110",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EATON",
"first_name": "LESLEY",
"middle_name": "R",
"credential": "MA, MFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-12",
"last_updated": "2025-08-27",
"certification_date": "2025-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CO",
"license": "MFT.0001408",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IN",
"license": "35001960A",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "LGILLUM165368@ECOMMUNITYDIRECT.COM",
"affiliation": "Y",
"affiliationName": "Community Health Network, Inc",
"address_1": "7165 Clearvista Way",
"city": "Indianapolis",
"state": "IN",
"country_code": "US",
"postal_code": "46256",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "LESLEY",
"last_name": "GILLUM",
"middle_name": "R",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.