Active NPI
Desarae Leshore
- Addiction (Substance Use Disorder) Counselor
- Indianapolis, IN
National Provider Identifier
1295462497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 1515 N Post Rd # a
Indianapolis, IN 46219-4213 - Phone
- (317) 282-3088
- NPI assigned
- Aug 7, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Primary |
Addresses
Primary practice location
1515 N Post Rd # a
Indianapolis, IN 46219-4213
Mailing address
1515 N Post Rd # a
Indianapolis, IN 46219-4213
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660780800000",
"number": "1295462497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 N POST RD # A",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462194213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 N POST RD # A",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462194213",
"telephone_number": "317-282-3088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LESHORE",
"first_name": "DESARAE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-08-07",
"last_updated": "2022-08-18",
"certification_date": "2022-08-18",
"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 Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.