Individual provider Active NPI

Rebecca M Leslie, MA

  • Mental Health Counselor
  • Herndon, VA
National Provider Identifier
1619627783
Registry record updated Mar 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0704014549 Issued in VA
Practice address
2579 John Milton Dr Ste 210
Herndon, VA 20171-2564
Phone
(703) 214-4924
NPI assigned
Mar 24, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2022

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 0704014549 VA Primary

Addresses

Primary practice location

2579 John Milton Dr Ste 210
Herndon, VA 20171-2564

Mailing address

2579 John Milton Dr Ste 210
Herndon, VA 20171-2564

Other identifiers 1

IdentifierTypeStateIssuer
0704014549OtherVARESIDENT IN COUNSELING LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.oakhillpsychological.com Direct Oak Hill Psychological Services, PLLC

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
0704014549VAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Hill Psychological Services, PLLC CurrentSince Mar 27, 2022 Accepting new patients
Dan Roth, PLLC Mental Health PastSince Mar 27, 2022 Accepting new patients

Locations

2579 John Milton Dr
Ste 210
Herndon, VA 20171
Phone (703) 214-4924

Organizations & group practices 2

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": "1648080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648080000000",
    "number": "1619627783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2579 JOHN MILTON DR STE 210",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201712564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2579 JOHN MILTON DR STE 210",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201712564",
            "telephone_number": "703-214-4924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESLIE",
        "first_name": "REBECCA",
        "middle_name": "M",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-24",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0704014549",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RESIDENT IN COUNSELING LICENSE",
            "identifier": "0704014549",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.oakhillpsychological.com",
            "affiliation": "Y",
            "endpointDescription": "Office Website",
            "affiliationName": "Oak Hill Psychological Services, PLLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2579 John Milton Dr Ste 210",
            "city": "Herndon",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201712564",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Herndon, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.