Leslie Shelton Mathes, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

1844 Issued in LA

Practice address

The Ness Center at Northlake, 23515 Hwy 190
Mandeville, LA 70448

Phone

(985) 334-4070

NPI assigned

Sep 15, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1631664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631664000000",
    "number": "1548930282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "THE NESS CENTER AT NORTHLAKE, 23515 HWY 190",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "70448",
            "telephone_number": "985-334-4070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "THE NESS CENTER AT NORTHLAKE, 23515 HWY 190",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "70448",
            "telephone_number": "985-334-4070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHES",
        "first_name": "LESLIE",
        "middle_name": "SHELTON",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-15",
        "last_updated": "2021-09-15",
        "certification_date": "2021-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "1844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.northlakeBH.com",
            "affiliation": "N",
            "endpointDescription": "Outpatient Behavioral Health services",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "23515 Highway 190",
            "city": "Mandeville",
            "state": "LA",
            "country_code": "US",
            "postal_code": "704487334",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kaitlin Crane Massey, MD
• Jennifer Matherne, FNP
• Kelly Matherne, LCSW
• Ryan Paul Matherne, D.D.S.
• Terrence Lenoir Mathers, M.D.
• Paul Mathes, BA - PSYCHOLOGY
• Shauna K. Mathis, D.C.
• Matthew McClanahan Apmllc
• Christa Julianne Maurer, LPC
• Gregg A May, D.D.S.

• Professional Counselor in Mandeville, LA
• Providers in Mandeville, LA by specialty
• Professional Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; 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.