Active NPI
Leslie Powell, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Newark, OH
National Provider Identifier
1376975797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- CNP14973
- Practice address
- 1855 W Main St
Newark, OH 43055-1135 - Phone
- (614) 257-4628
- NPI assigned
- Aug 8, 2013
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 3017888 | KY | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 0024192191 | VA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 101.0137517TELE | VT | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | CNP14973 | OH | Primary |
Addresses
Primary practice location
1855 W Main St
Newark, OH 43055-1135
Mailing address
1855 W Main St
Newark, OH 43055-1135
Phone (804) 269-1576
Other practice location 1
69 Neal Ave
Newark, OH 43055-4139
Phone (804) 269-1576
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)
- Enrolled
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3017888 | KY | MD | Psychiatric/Mental Health Nurse Practitioner |
| CNP14973 | OH | MD | Psychiatric/Mental Health Nurse Practitioner |
| 0024192191 | VA | MD | Psychiatric/Mental Health Nurse Practitioner |
| 101.0137517TELE | VT | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736121600000",
"number": "1376975797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1855 W MAIN ST",
"city": "NEWARK",
"state": "OH",
"postal_code": "430551135",
"telephone_number": "804-269-1576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1855 W MAIN ST",
"city": "NEWARK",
"state": "OH",
"postal_code": "430551135",
"telephone_number": "614-257-4628"
}
],
"practiceLocations": [
{
"address_1": "69 Neal Ave",
"address_purpose": "LOCATION",
"city": "Newark",
"state": "OH",
"postal_code": "430554139",
"country_code": "US",
"telephone_number": "804-269-1576",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "POWELL",
"first_name": "LESLIE",
"credential": "PMHNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-08",
"last_updated": "2025-01-06",
"certification_date": "2025-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "KY",
"license": "3017888",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "VA",
"license": "0024192191",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "VT",
"license": "101.0137517TELE",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "OH",
"license": "CNP14973",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newark, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.