Individual provider Active NPI

Leslie Rielage-Ralph, LCPC, LMHC

  • Mental Health Counselor
  • Greenwood, IN
National Provider Identifier
1275983140
Registry record updated Jan 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
39004238A Issued in IN
Practice address
435 E Main St Ste 200
Greenwood, IN 46143-1457
Phone
(317) 743-8202
NPI assigned
Jun 21, 2016
Last updated
Jan 24, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 178.010290 IL
Mental Health Counselor 101YM0800X 39004238A IN Primary

Addresses

Primary practice location

435 E Main St Ste 200
Greenwood, IN 46143-1457

Mailing address

435 E Main St Ste 200
Greenwood, IN 46143-1457
Phone (317) 743-8202

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective May 15, 2024 through May 15, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
178.010290ILMDMental Health Counselor
39004238AINMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Generations Counseling Services, LLC CurrentSince Jan 29, 2023 Accepting new patients

Locations

9650 Commerce Dr
Ste 532
Carmel, IN 46032
Phone (317) 743-8202

200 Byrd Way
Ste 155
Greenwood, IN 46143
Phone (317) 599-2624

435 E Main St
Ste 200
Greenwood, IN 46143
Phone (317) 473-8202

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1466467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674518400000",
    "number": "1275983140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 E MAIN ST STE 200",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461431457",
            "telephone_number": "317-743-8202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 E MAIN ST STE 200",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461431457",
            "telephone_number": "317-743-8202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIELAGE-RALPH",
        "first_name": "LESLIE",
        "credential": "LCPC, LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-21",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178.010290",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39004238A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, IN

Sources for this page

Verify at the official NPI Registry.