Individual provider Active NPI

Leslie Joanne Walker

  • Mental Health Counselor
  • Louisville, KY
National Provider Identifier
1497588909
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
280623 Issued in KY
Practice address
406 Blankenbaker Pkwy Ste H2
Louisville, KY 40243-1898
Phone
(502) 749-9029
NPI assigned
Aug 21, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 280623 KY Primary

Addresses

Primary practice location

406 Blankenbaker Pkwy Ste H2
Louisville, KY 40243-1898

Mailing address

119 Evergreen Rd Unit 43242
Louisville, KY 40253-4512
Phone (502) 432-0557

Other practice location 1

14609 Golden Leaf Pl
Louisville, KY 40245-6510
Phone (502) 432-0557

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

State licenses

LicenseStateTypeSpecialty
280623KYMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1724198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1497588909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 EVERGREEN RD UNIT 43242",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402534512",
            "telephone_number": "502-432-0557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 BLANKENBAKER PKWY STE H2",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402431898",
            "telephone_number": "502-749-9029"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14609 Golden Leaf Pl",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402456510",
            "country_code": "US",
            "telephone_number": "502-432-0557",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALKER",
        "first_name": "LESLIE",
        "middle_name": "JOANNE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-21",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "280623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; 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.