Individual provider Active NPI

Leslie E Golden

  • Mental Health Counselor
  • Madison, WI
National Provider Identifier
1447880653
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
11076123 Issued in WI
Practice address
2002 Atwood Ave Ste 223
Madison, WI 53704-5382
Phone
(608) 772-3547
NPI assigned
Jan 16, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 11076123 WI Primary

Addresses

Primary practice location

2002 Atwood Ave Ste 223
Madison, WI 53704-5382

Mailing address

2002 Atwood Ave Ste 223
Madison, WI 53704-5382
Phone (608) 772-3547

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240403003058 WI Practitioner - Mental Health Counselor 5799123246 Practice locations: Madison, WI

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2002 Atwood Ave
Suite 223
Madison, WI 53704-5382
Phone (608) 571-2522

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11076123WIMDMental Health Counselor

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.lesliegolden@149809.advancedmd-direct.com

NPI Registry JSON

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

{
    "created_epoch": "1579132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1447880653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2002 ATWOOD AVE STE 223",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537045382",
            "telephone_number": "608-772-3547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 ATWOOD AVE STE 223",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537045382",
            "telephone_number": "608-772-3547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDEN",
        "first_name": "LESLIE",
        "middle_name": "E",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-16",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "11076123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.