Individual provider Active NPI

Carolyn Sue Leist, CDP

  • Addiction (Substance Use Disorder) Counselor
  • Spokane, WA
National Provider Identifier
1285134239
Registry record updated Feb 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Practice address
518 S Browne St
Spokane, WA 99204-2315
Phone
(509) 456-5465
Fax
(509) 456-5710
NPI assigned
Feb 16, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Primary

Addresses

Primary practice location

518 S Browne St
Spokane, WA 99204-2315

Mailing address

PO Box 4627
Spokane, WA 99220-0627
Phone (509) 456-5465

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

Practice roles

OrganizationSpecialtyStatusNew patients
New Horizon Care Centers, Inc. PastSince Oct 13, 2024 Accepting new patients
New Horizon Care Center, Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: cleist@nhcc-sr.direct.kno2fy.com

Organizations & group practices 2

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": "1518739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518739200000",
    "number": "1285134239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4627",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992200627",
            "telephone_number": "509-456-5465",
            "fax_number": "509-456-5710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 S BROWNE ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042315",
            "telephone_number": "509-456-5465",
            "fax_number": "509-456-5710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEIST",
        "first_name": "CAROLYN",
        "middle_name": "SUE",
        "credential": "CDP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-16",
        "last_updated": "2018-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2018; 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.