Organization Active NPI

Leslie Wade King

  • Counselor
  • Houston, TX
National Provider Identifier
1346291523
Registry record updated Mar 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
15291 Issued in TX
Legal business name
LESLIE WADE KING
Practice address
2500 E TC Jester Blvd
Suite 267
Houston, TX 77008-1365
Phone
(713) 934-8121
Fax
(713) 490-3167
NPI assigned
May 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2013

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

Authorized official

Name
Mr. Leslie Wade King, LPC-SNPI 1679642615
Title
Owner
Phone
(713) 934-8121

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X 15291 TX Primary

Addresses

Primary practice location

2500 E TC Jester Blvd
Suite 267
Houston, TX 77008-1365

Mailing address

16303 Drystone LN
Houston, TX 77095-4534
Phone (713) 934-8121

Other identifiers 1

IdentifierTypeStateIssuer
211735001MedicaidTX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363392000000",
    "number": "1346291523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16303 DRYSTONE LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770954534",
            "telephone_number": "713-934-8121",
            "fax_number": "713-490-3167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 E TC JESTER BLVD",
            "address_2": "SUITE 267",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770081365",
            "telephone_number": "713-934-8121",
            "fax_number": "713-490-3167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LESLIE WADE KING",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-13",
        "last_updated": "2013-03-16",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "WADE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-934-8121",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC-S"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": "TX",
            "license": "15291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "211735001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2013; 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.