Active NPI
Leslie Carrizales
- Professional Counselor
- San Antonio, TX
National Provider Identifier
1619854742
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 100358
- Practice address
- 9846 Lorene LN
San Antonio, TX 78216-4438 - Phone
- (830) 730-6090
- NPI assigned
- Aug 20, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 100358 | TX | Primary |
Addresses
Primary practice location
9846 Lorene LN
San Antonio, TX 78216-4438
Mailing address
17635 Henderson Pass Apt 136
San Antonio, TX 78232-1574
Phone (979) 732-4740
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 100358 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inmindout Emotional Wellness Center, LLC | Professional | Past | Accepting new patients |
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": "1755648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759968000000",
"number": "1619854742",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17635 HENDERSON PASS APT 136",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782321574",
"telephone_number": "979-732-4740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9846 LORENE LN",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782164438",
"telephone_number": "830-730-6090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARRIZALES",
"first_name": "LESLIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-08-20",
"last_updated": "2025-10-09",
"certification_date": "2025-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "100358",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.