Individual provider Active NPI

Leslie Moses Boutte, LPC-S, RPT-S

  • Professional Counselor
  • Dallas, TX
National Provider Identifier
1376921338
Registry record updated Sep 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
70164 Issued in TX
Practice address
6510 Abrams Rd Ste 215
Dallas, TX 75231-7240
Phone
(214) 771-8852
NPI assigned
May 11, 2015
Last updated
Sep 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 70164 TX
Professional Counselor 101YP2500X 70164 TX Primary

Addresses

Primary practice location

6510 Abrams Rd Ste 215
Dallas, TX 75231-7240

Mailing address

6510 Abrams Rd Ste 215
Dallas, TX 75231-7240
Phone (214) 771-8852

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

LicenseStateTypeSpecialty
70164TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Illuminated Hope Counseling & Consulting, PLLC Mental Health CurrentSince Nov 9, 2021 Accepting new patients
Dallas Children's Advocacy Center Professional Past Accepting new patients
Dallas Children's Advocacy Center Past Accepting new patients

Locations

1151 N Buckner Blvd
Ste 107
Dallas, TX 75218
Phone (214) 771-8852

Organizations & group practices 3

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": "1431302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790553600000",
    "number": "1376921338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6510 ABRAMS RD STE 215",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752317240",
            "telephone_number": "214-771-8852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6510 ABRAMS RD STE 215",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752317240",
            "telephone_number": "214-771-8852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUTTE",
        "first_name": "LESLIE",
        "middle_name": "MOSES",
        "credential": "LPC-S, RPT-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-11",
        "last_updated": "2026-09-28",
        "certification_date": "2026-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "70164",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "70164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2026; 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.