Individual provider Active NPI

Leslie Augusta Ross, LPC

  • Professional Counselor
  • Oklahoma City, OK
National Provider Identifier
1467715664
Registry record updated Feb 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
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

Updated by the provider on Feb 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
5933OtherOKSTATE LICENSURE

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240209002149 OK Practitioner - Mental Health Counselor 4385087097 Reassigns benefits to 1 organization

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
State of OklahomaGroup PAC ID 4486558962, 99 clinicians

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

OrganizationSpecialtyStatusNew patients
State of Oklahoma CurrentSince Jan 1, 2024 Accepting new patients
State of Oklahoma Current Accepting new patients
State of Oklahoma CurrentSince Jan 1, 2024 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.

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

Verify at the official NPI Registry.