Organization Active NPI

Leslie Marshall LLC

  • Marriage & Family Therapist
  • Fairfield, CT
National Provider Identifier
1437501178
Registry record updated Jul 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1795 Issued in CT
Legal business name
LESLIE MARSHALL LLC
Practice address
2335 Black Rock Tpke
Fairfield, CT 06825-3220
Phone
(203) 984-6456
NPI assigned
Jul 6, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2016

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

Authorized official

Name
Leslie Marshall, LMFTNPI 1952761298
Title
LMFT
Phone
(203) 984-6456

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X 1795 CT Primary

Addresses

Primary practice location

2335 Black Rock Tpke
Fairfield, CT 06825-3220

Mailing address

164 Farist Rd
Fairfield, CT 06825-3207
Phone (203) 984-6456

National Provider Directory

National Provider Directory

Locations

2335 Black Rock Tpke
Fairfield, CT 06825
Phone (203) 334-7411

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1467763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467763200000",
    "number": "1437501178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 FARIST RD",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068253207",
            "telephone_number": "203-984-6456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2335 BLACK ROCK TPKE",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068253220",
            "telephone_number": "203-984-6456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LESLIE MARSHALL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-06",
        "last_updated": "2016-07-06",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "LMFT",
        "authorized_official_telephone_number": "203-984-6456",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "1795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2016; 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.