Active NPI
Leslie Diane Mormile, DNP, APRN, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Parker, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- C-APN.0101333-C-NP
- Practice address
- 9397 Crown Crest Blvd Ste 440
Parker, CO 80138-8789 - Phone
- (970) 310-3406
- NPI assigned
- May 20, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | NP95012547 | CA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | C-APN.0101333-C-NP | CO | Primary |
| Adult Psychiatric/Mental Health Registered Nurse | 163WP0809X | R172346-7 | MN | |
| Adult Psychiatric/Mental Health Registered Nurse | 163WP0809X | C-RXN.0100933-C-NP | CO | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | CNP-02767 | NM |
Addresses
Primary practice location
9397 Crown Crest Blvd Ste 440
Parker, CO 80138-8789
Mailing address
9397 Crown Crest Blvd Ste 440
Parker, CO 80138-8789
Phone (970) 310-3406
Other names 1
- Ms. Leslie Diane Holm
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM, CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
9397 Crown Crest Blvd
Suite 440
Parker, CO 80138-8789
Phone (970) 310-3406
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R172346-7 | MN | MD | Adult Psychiatric/Mental Health Registered Nurse |
| NP95012547 | CA | MD | Psychiatric/Mental Health Nurse Practitioner |
| CNP-02767 | NM | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heart Centered Counseling, PC | Psychiatric/Mental Health | Current | Accepting new patients |
| Heart Centered Counseling, PC | Psychiatric/Mental Health | Current | Accepting new patients |
| Presbyterian Medical Services | Current | Accepting new patients | |
| Presbyterian Medical Services | Current | Accepting new patients | |
| Heart Centered Counseling, PC | Psychiatric/Mental Health | Current | Accepting new patients |
| Presbyterian Medical Services | Current | Accepting new patients |
Locations
215 W Oak St
Fl 4
Fort Collins, CO 80521
Phone (253) 346-1331
1770 25th Ave
Ste 206
Greeley, CO 80634
Phone (303) 664-5281
9397 Crown Crest Blvd
Ste 440
Parker, CO 80138
Phone (303) 269-4370
1422 Paseo de Peralta
Santa Fe, NM 87501
Phone (505) 982-5565
Interoperability endpoints
- lesliem@ldmormile.kareodirect.com
- lifestancehealth.lesliemormile@146010.advancedmd-direct.com
Organizations & group practices 6
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.
-
- Mental Health Counselor
- Fort Collins, CO
- NPI 1588038681
Psychiatric/Mental Health
-
- Federally Qualified Health Center (FQHC)
- Rio Rancho, NM
- NPI 1871505032
-
- Mental Health Counselor
- Littleton, CO
- NPI 1083254312
Psychiatric/Mental Health
-
- Mental Health Counselor
- Colorado Springs, CO
- NPI 1558158584
Psychiatric/Mental Health
-
- Federally Qualified Health Center (FQHC)
- Deming, NM
- NPI 1245618503
-
- Community/Retail Pharmacy
- Albuquerque, NM
- NPI 1306654462
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722470400000",
"number": "1467619296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9397 CROWN CREST BLVD STE 440",
"city": "PARKER",
"state": "CO",
"postal_code": "801388789",
"telephone_number": "970-310-3406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9397 CROWN CREST BLVD STE 440",
"city": "PARKER",
"state": "CO",
"postal_code": "801388789",
"telephone_number": "970-310-3406"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORMILE",
"first_name": "LESLIE",
"middle_name": "DIANE",
"name_prefix": "Dr.",
"credential": "DNP, APRN, PMHNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-20",
"last_updated": "2024-08-01",
"certification_date": "2024-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CA",
"license": "NP95012547",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CO",
"license": "C-APN.0101333-C-NP",
"primary": true
},
{
"code": "163WP0809X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
"state": "MN",
"license": "R172346-7",
"primary": false
},
{
"code": "163WP0809X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
"state": "CO",
"license": "C-RXN.0100933-C-NP",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NM",
"license": "CNP-02767",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LESLIE",
"last_name": "HOLM",
"middle_name": "DIANE",
"prefix": "MS.",
"credential": "RN, CNP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Parker, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.