Leslie Black Johnson, MA, LCMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

10085 Issued in NC

Practice address

432 Eastwood Rd Ste 1a
Wilmington, NC 28403-1872

Phone

(910) 523-7418

NPI assigned

Mar 27, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Leslie Elizabeth Black Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1364342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634601600000",
    "number": "1437492501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3912 BOROUGH RD",
            "city": "CURRIE",
            "state": "NC",
            "postal_code": "284355752",
            "telephone_number": "910-523-7418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "432 EASTWOOD RD STE 1A",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284031872",
            "telephone_number": "910-523-7418"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5710 Oleander Dr Ste 208",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284034722",
            "country_code": "US",
            "telephone_number": "910-452-1460",
            "fax_number": "910-397-0821",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "LESLIE",
        "middle_name": "BLACK",
        "name_prefix": "Ms.",
        "credential": "MA, LCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-27",
        "last_updated": "2021-10-19",
        "certification_date": "2021-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "A10085",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "10085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LESLIE",
            "last_name": "BLACK",
            "middle_name": "ELIZABETH",
            "prefix": "MS.",
            "credential": "MA, LCMHC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kevin Johnson, PHARMD
• Kevin Micheal Johnson, DC
• Kim Anne Johnson, LMFT
• Kiszy Shenea Johnson
• Laura Ellen Sutton Johnson, DDS
• Lindsey Johnson, LCSW
• Lisa Yvette Johnson
• Lottie Zhevonda Johnson, PHARM.D.
• Marissa Johnson, FNP-C
• Mollie K Johnson, PA

• Mental Health Counselor in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2021; 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.