Active NPI
Leslie Augusta Ross, LPC
- Professional Counselor
- Oklahoma City, OK
National Provider Identifier
1467715664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 4508 SE 78TH St
Oklahoma City, OK 73135-6121 - Phone
- (405) 203-0813
- NPI assigned
- Jun 21, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
4508 SE 78TH St
Oklahoma City, OK 73135-6121
Mailing address
4508 SE 78TH St
Oklahoma City, OK 73135-6121
Phone (405) 203-0813
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5933 | Other | OK | STATE LICENSURE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info@leslierosslpc.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1101 E Monroe Ave
Carl Albert Mental Health
McAlester, OK 74501-4826
Phone (918) 426-7800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Oklahoma | Current | Accepting new patients | |
| State of Oklahoma | Current | Accepting new patients | |
| State of Oklahoma | Current | Accepting new patients |
Locations
1101 E Monroe Ave
McAlester, OK 74501
Phone (918) 426-7878
2323 S Harvard Ave
Tulsa, OK 74114
Phone (918) 293-2140
Organizations & group practices 3
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 Clinic/Center (Including Community Mental Health Center)
- Norman, OK
- NPI 1588755532
-
- Skilled Nursing Facility
- Talihina, OK
- NPI 1154589430
-
- Medical Specialty Clinic/Center
- McAlester, OK
- NPI 1689843559
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581292800000",
"number": "1467715664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4508 SE 78TH ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731356121",
"telephone_number": "405-203-0813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4508 SE 78TH ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731356121",
"telephone_number": "405-203-0813"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSS",
"first_name": "LESLIE",
"middle_name": "AUGUSTA",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-06-21",
"last_updated": "2020-02-10",
"certification_date": "2020-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSURE",
"identifier": "5933",
"state": "OK"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "info@leslierosslpc.com",
"affiliation": "N",
"endpointDescription": "private email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4508 SE 78th St",
"city": "Oklahoma City",
"state": "OK",
"country_code": "US",
"postal_code": "731356121",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2020; 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.