Active NPI
Leslie L Beatty, MPC, LCMHC
- Professional Counselor
- Ogden, UT
National Provider Identifier
1346578465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 75231546009
- Practice address
- 533 26TH St Ste 202
Ogden, UT 84401-2459 - Phone
- (801) 564-1696
- Fax
- (801) 880-9863
- NPI assigned
- Dec 1, 2009
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 75231546009 | UT | Primary |
Addresses
Primary practice location
533 26TH St Ste 202
Ogden, UT 84401-2459
Mailing address
3418 W 5825 S
Roy, UT 84067-9059
Phone (801) 564-1696
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 75231546009 | UT | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1259625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390867200000",
"number": "1346578465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3418 W 5825 S",
"city": "ROY",
"state": "UT",
"postal_code": "840679059",
"telephone_number": "801-564-1696"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "533 26TH ST STE 202",
"city": "OGDEN",
"state": "UT",
"postal_code": "844012459",
"telephone_number": "801-564-1696",
"fax_number": "801-880-9863"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEATTY",
"first_name": "LESLIE",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "MPC, LCMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-12-01",
"last_updated": "2014-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "UT",
"license": "75231546009",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ogden, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.