Lightspace, Inc.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

115184-2501 Issued in UT

Legal business name

LIGHTSPACE, INC.

Practice address

1275 Big Flat Rd
Missoula, MT 59804-9217

Phone

(406) 728-1413

NPI assigned

Jan 8, 2007

Last updated

Sep 11, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jodi Leslie, PH.D, LCPCNPI 1447301981

Title

President

Phone

(406) 728-1413

Specialties & licenses 2

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jodi Leslie, PH.D.

  • Professional Counselor
  • Missoula, MT
  • NPI 1447301981
  NPD (past) Authorized official

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1497803084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 BIG FLAT RD",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598049217",
            "telephone_number": "406-728-1413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 BIG FLAT RD",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598049217",
            "telephone_number": "406-728-1413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTSPACE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "LESLIE",
        "authorized_official_first_name": "JODI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "406-728-1413",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D, LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MT",
            "license": "960",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "UT",
            "license": "115184-2501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000253164",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCPC, BLUE CROSS BLUE SHI",
            "identifier": "944653",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• John Craig Lilburn, MSW, LCSW
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• Limen Integrative Therapy

• Psychologist in Missoula, MT
• Providers in Missoula, MT by specialty
• Psychologist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.