Active NPI
Leslie Gaultney, LPC
- Professional Counselor
- Opelika, AL
National Provider Identifier
1265765648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 1124
- Practice address
- 2506 Lambert Dr
Opelika, AL 36801-7237 - Phone
- (334) 742-2700
- NPI assigned
- Sep 16, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 1124 | AL | Primary |
Addresses
Primary practice location
2506 Lambert Dr
Opelika, AL 36801-7237
Mailing address
2506 Lambert Dr
Opelika, AL 36801-7237
Phone (334) 742-2700
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1124 | AL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1253059200000",
"number": "1265765648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2506 LAMBERT DR",
"city": "OPELIKA",
"state": "AL",
"postal_code": "368017237",
"telephone_number": "334-742-2700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2506 LAMBERT DR",
"city": "OPELIKA",
"state": "AL",
"postal_code": "368017237",
"telephone_number": "334-742-2700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAULTNEY",
"first_name": "LESLIE",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-16",
"last_updated": "2009-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AL",
"license": "1124",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Opelika, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.