Leslie E Wilborne, NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

46.004839 Issued in CT

Practice address

446 Blake St # 200
New Haven, CT 06515-4407

Phone

(203) 387-9400

NPI assigned

Apr 7, 2021

Last updated

Jan 4, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Aligned Wellness LLC

  • Professional Counselor
  • Hamden, CT
  • NPI 1366382426
  NPD Authorized official

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

{
    "created_epoch": "1617753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672790400000",
    "number": "1326627266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 FISCO DR",
            "city": "EAST HAVEN",
            "state": "CT",
            "postal_code": "065131202",
            "telephone_number": "917-557-6071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "446 BLAKE ST # 200",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065154407",
            "telephone_number": "203-387-9400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "350 George St",
            "address_purpose": "LOCATION",
            "city": "New Haven",
            "state": "CT",
            "postal_code": "065116617",
            "country_code": "US",
            "telephone_number": "203-393-6331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILBORNE",
        "first_name": "LESLIE",
        "middle_name": "E",
        "credential": "NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-07",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CT",
            "license": "46.004839",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "46.004839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ilse R. Wiechers, MD
• Amy Virginia Wiegand, MS
• Michael J Wiener, DDS
• Gail Ann Wiggins
• Thilan Prasanga Wijesekera, M.D.
• Melissa Wilcoxson, APRN
• Amber Locklear Wilder, PA-C
• Craig Brian Wilen, M.D., PH.D.
• Charles Preston Wiles Jr., M.D.
• Martin Wilkins

• Professional Counselor in New Haven, CT
• Providers in New Haven, CT by specialty
• Professional Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2023; 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.