Leslie Carroll Ousley, MA, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

5428-125 Issued in WI

Practice address

217 North Madison Street
Suite 4
Green Bay, WI 54301-5012

Phone

(920) 227-7078

Fax

(920) 273-8847

NPI assigned

Jun 20, 2013

Last updated

Apr 22, 2022By the provider in NPPES

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wing of Eagles Corp

  dba Wings of Eagles Counseling Clinic

  • Community/Behavioral Health Agency
  • Green Bay, WI
  • NPI 1164889770
  Authorized official Same address or phone
• Wing of Eagles Corp

  dba Wings Of Eagles Counseling Clinic

  • Case Management Agency
  • Green Bay, WI
  • NPI 1982000154
  Authorized official Same address or phone

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

{
    "created_epoch": "1371686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650585600000",
    "number": "1609215821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 N MADISON ST",
            "address_2": "SUITE 4",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543015103",
            "telephone_number": "920-227-7078",
            "fax_number": "920-273-8847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 NORTH MADISON STREET",
            "address_2": "SUITE 4",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543015012",
            "telephone_number": "920-227-7078",
            "fax_number": "920-273-8847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OUSLEY",
        "first_name": "LESLIE",
        "middle_name": "CARROLL",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-20",
        "last_updated": "2022-04-22",
        "certification_date": "2022-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "5428-125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47-1086793",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100037704",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Otto Chiropractic Clinic, S.C.
• Anthony James Otto, DC
• Jory A Ough, M.D.
• Matthew J Ough, MD
• Our Created Lives LLC
• Joanne Marie Owen, OTA
• William L Owens
• Sylvia Owusu, M.D.
• P.O.W.E.R. Wellness and Family Center, LLC
• Melissa J Paasch, APNP

• Professional Counselor in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2022; 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.