Individual provider Active NPI

Leslie Gayle Kubisiak, MA, LPC, NCC

  • Professional Counselor
  • Phillipsburg, NJ
National Provider Identifier
1609933647
Registry record updated Feb 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC00310900 Issued in NJ
Practice address
422 Coventry Dr
Phillipsburg, NJ 08865-1969
Phone
(908) 319-7126
NPI assigned
Jan 2, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2026

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 37PC00310900 NJ Primary

Addresses

Primary practice location

422 Coventry Dr
Phillipsburg, NJ 08865-1969

Mailing address

422 Coventry Dr
Phillipsburg, NJ 08865-1969
Phone (908) 319-7126

Other practice location 1

776 Mountain Blvd Ste 106
Watchung, NJ 07069-6269
Phone (908) 319-7126

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2000
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

422 Coventry Dr
Phillipsburg, NJ 08865-1969

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
37PC00310900NJMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
LDK Counseling, LLC Professional CurrentSince Oct 27, 2024 Accepting new patients

Locations

1559 Springtown Rd
#A
Alpha, NJ 08865

422 Coventry Dr
Phillipsburg, NJ 08865
Phone (609) 594-4900

786 Mountain Blvd
Ste 102
Watchung, NJ 07069
Phone (908) 755-3055

Organizations & group practices 1

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": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771200000000",
    "number": "1609933647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 COVENTRY DR",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "088651969",
            "telephone_number": "908-319-7126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 COVENTRY DR",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "088651969",
            "telephone_number": "908-319-7126"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "776 Mountain Blvd Ste 106",
            "address_purpose": "LOCATION",
            "city": "Watchung",
            "state": "NJ",
            "postal_code": "070696269",
            "country_code": "US",
            "telephone_number": "908-319-7126",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUBISIAK",
        "first_name": "LESLIE",
        "middle_name": "GAYLE",
        "name_prefix": "Ms.",
        "credential": "MA, LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2026-02-16",
        "certification_date": "2026-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00310900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phillipsburg, NJ

Sources for this page

Verify at the official NPI Registry.