Leslie Ross Macbride, M.S., LP, PHD.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

LP 2489 Issued in MN

Practice address

111 Market Street
Suite 4a Counseling Associates, LLC
Winona, MN 55987-5901

Phone

(507) 452-5033

Fax

(507) 452-5183

NPI assigned

Jul 16, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Winona Counseling Clinic, Inc.

  • Community/Behavioral Health Agency
  • Winona, MN
  • NPI 1841344116
  NPD (past)

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

{
    "created_epoch": "1216166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259625600000",
    "number": "1467616771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 MARKET STREET",
            "address_2": "SUITE 4A COUNSELING ASSOCIATES, LLC",
            "city": "WINONA",
            "state": "MN",
            "postal_code": "559875901",
            "telephone_number": "507-452-5033",
            "fax_number": "507-452-5183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 MARKET STREET",
            "address_2": "SUITE 4A COUNSELING ASSOCIATES, LLC",
            "city": "WINONA",
            "state": "MN",
            "postal_code": "559875901",
            "telephone_number": "507-452-5033",
            "fax_number": "507-452-5183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACBRIDE",
        "first_name": "LESLIE",
        "middle_name": "ROSS",
        "credential": "M.S., LP, PHD.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-16",
        "last_updated": "2009-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP 2489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shaquilla Brianna Lucky
• Mikael Luter
• Lorenzo Reed Lysaker
• Mackenzie Christine Lyttle, DPT
• Amy A. Macal, CNP
• Janet Macon, MS, RD, LD
• Erica Susan Madland
• Marino Maeda
• Ethan Mahlberg
• Samuel Westerfield Mahr, LPCC

• Psychologist in Winona, MN
• Providers in Winona, MN by specialty
• Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2009; 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.