Active NPI
Leslie Wade King
- Counselor
- Houston, TX
National Provider Identifier
1346291523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 15291
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Leslie Wade King, LPC-S
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 211735001 | Medicaid | TX |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Houston, TX
- NPI 1679642615
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.