Leslie L Wright, LPC, NCC, ADC, ASDCS

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

7515 Issued in SC

Practice address

204 Short St
Kingstree, SC 29556-3927

Phone

(843) 806-2501

Fax

(843) 484-3641

NPI assigned

Oct 23, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

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": "1193097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660089600000",
    "number": "1629267901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 3RD AVE",
            "city": "KINGSTREE",
            "state": "SC",
            "postal_code": "295562819",
            "telephone_number": "843-372-3365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 SHORT ST",
            "city": "KINGSTREE",
            "state": "SC",
            "postal_code": "295563927",
            "telephone_number": "843-806-2501",
            "fax_number": "843-484-3641"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "607 3rd Ave",
            "address_purpose": "LOCATION",
            "city": "Kingstree",
            "state": "SC",
            "postal_code": "295562819",
            "country_code": "US",
            "telephone_number": "843-372-3365",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "164 Waccamaw Medical Park Dr",
            "address_purpose": "LOCATION",
            "city": "Conway",
            "state": "SC",
            "postal_code": "295268903",
            "country_code": "US",
            "telephone_number": "843-347-5060 x225",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "115 Short St",
            "address_purpose": "LOCATION",
            "city": "Kingstree",
            "state": "SC",
            "postal_code": "295563924",
            "country_code": "US",
            "telephone_number": "843-355-9113",
            "fax_number": "843-355-9389",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "LESLIE",
        "middle_name": "L",
        "credential": "LPC, NCC, ADC, ASDCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-23",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "SC",
            "license": "18022210",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "7515",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1629267901",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PC2254",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.lesliewrightcounseling.com",
            "affiliation": "N",
            "address_1": "204 Short St",
            "city": "Kingstree",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295563927",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• April Wilson
• Sylvia Wilson
• Matthew Amos Wise, NP-C
• Roberta Woods-McKnight, M.A., CCC-SLP
• Wotp Counseling Center
• Teavis Valencia Young

• Professional Counselor in Kingstree, SC
• Providers in Kingstree, SC by specialty
• Professional Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.