Individual provider Active NPI

Leslie R Lovestead, M.A.

  • Marriage & Family Therapist
  • Springfield, VA
National Provider Identifier
1457569832
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
8510 Wild Spruce Dr
Springfield, VA 22153-1800
Phone
(703) 451-0867
Fax
(703) 451-0867
NPI assigned
May 18, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X Primary

Addresses

Primary practice location

8510 Wild Spruce Dr
Springfield, VA 22153-1800

Mailing address

8510 Wild Spruce Dr
Springfield, VA 22153-1800
Phone (703) 451-0867

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)
Not enrolled
Credentials
Master of Arts

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457569832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8510 WILD SPRUCE DR",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221531800",
            "telephone_number": "703-451-0867",
            "fax_number": "703-451-0867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8510 WILD SPRUCE DR",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221531800",
            "telephone_number": "703-451-0867",
            "fax_number": "703-451-0867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVESTEAD",
        "first_name": "LESLIE",
        "middle_name": "R",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.