Leslie Danielle Couden Dileo, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH12739 Issued in FL

Practice address

305 Kingsley Lake Dr
Saint Augustine, FL 32092-3043

Phone

(502) 386-3647

NPI assigned

Oct 4, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1507075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507075200000",
    "number": "1417467424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 BLUESTONE RIVER WAY",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320921925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 KINGSLEY LAKE DR",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320923043",
            "telephone_number": "502-386-3647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUDEN DILEO",
        "first_name": "LESLIE",
        "middle_name": "DANIELLE",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-04",
        "last_updated": "2017-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH12739",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL LICESNSE",
            "identifier": "MH12739",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Saint Augustine, FL
• Providers in Saint Augustine, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2017; 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.