Individual provider Active NPI

Leslie McLain Beattie

  • Mental Health Counselor
  • Bowling Green, KY
National Provider Identifier
1336878560
Registry record updated Jun 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
1910 Lyda Ave
Bowling Green, KY 42104-3326
Phone
(270) 904-6567
NPI assigned
Jun 4, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

1910 Lyda Ave
Bowling Green, KY 42104-3326

Mailing address

2901 Blair Blvd Apt B5
Nashville, TN 37212-4051
Phone (256) 762-8659

Other practice location 1

1600 Scottsville Rd Ste 101
Bowling Green, KY 42104-3217
Phone (270) 904-6567

Other practice location 2

1830 Destiny Ln Ste 110
Bowling Green, KY 42104-1088
Phone (270) 904-6567

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
Mental Health Cooperative, Inc Current Accepting new patients
Alliance Counseling Associates Mental Health CurrentSince May 5, 2024 Accepting new patients

Locations

1910 Lyda Ave
Bowling Green, KY 42104
Phone (270) 479-6904

1600 Scottsville Rd
Ste 101
Bowling Green, KY 42104
Phone (270) 781-0028

1830 Destiny Ln
Ste 110
Bowling Green, KY 42104
Phone (270) 846-3338

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, 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": "1654300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654300800000",
    "number": "1336878560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 BLAIR BLVD APT B5",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372124051",
            "telephone_number": "256-762-8659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 LYDA AVE",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421043326",
            "telephone_number": "270-904-6567"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 Scottsville Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Bowling Green",
            "state": "KY",
            "postal_code": "421043217",
            "country_code": "US",
            "telephone_number": "270-904-6567",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1830 Destiny Ln Ste 110",
            "address_purpose": "LOCATION",
            "city": "Bowling Green",
            "state": "KY",
            "postal_code": "421041088",
            "country_code": "US",
            "telephone_number": "270-904-6567",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEATTIE",
        "first_name": "LESLIE",
        "middle_name": "MCLAIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-04",
        "last_updated": "2022-06-04",
        "certification_date": "2022-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

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

Verify at the official NPI Registry.