Individual provider Active NPI

Leslye Vaughan, LPC

  • Professional Counselor
  • Greenville, TX
National Provider Identifier
1376008391
Registry record updated Feb 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
74508 Issued in TX
Practice address
4200 Stuart St
Greenville, TX 75401-5759
Phone
(903) 455-3987
Fax
(903) 455-0834
NPI assigned
Feb 4, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 74508 TX Primary

Addresses

Primary practice location

4200 Stuart St
Greenville, TX 75401-5759

Mailing address

PO Box 747
Terrell, TX 75160-0014
Phone (972) 524-4159

Other names 1

  • Leslye Dingman Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
74508TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lakes Regional Mental Health Mental Retardation Center CurrentSince Jan 1, 2024 Accepting new patients

Locations

4200 Stuart St
Greenville, TX 75401
Phone (903) 454-0300

1300 W 16th St
Mt Pleasant, TX 75455
Phone (972) 524-4159

2435 Ridge Rd
Ste 107
Rockwall, TX 75087
Phone (972) 722-2685

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1549238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549238400000",
    "number": "1376008391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 747",
            "city": "TERRELL",
            "state": "TX",
            "postal_code": "751600014",
            "telephone_number": "972-524-4159",
            "fax_number": "972-524-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 STUART ST",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754015759",
            "telephone_number": "903-455-3987",
            "fax_number": "903-455-0834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHAN",
        "first_name": "LESLYE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-04",
        "last_updated": "2019-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "74508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LESLYE",
            "last_name": "DINGMAN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Greenville, TX

Sources for this page

Verify at the official NPI Registry.