Individual provider Active NPI

Leslie Marie Grout, CDCA

  • Addiction (Substance Use Disorder) Counselor
  • Xenia, OH
National Provider Identifier
1649049651
Registry record updated Jan 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
CDCA.186713 Issued in OH
Practice address
2960 W Enon Rd
Xenia, OH 45385-8548
Phone
(937) 272-4925
Fax
(937) 984-4346
NPI assigned
Jan 2, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CDCA.186713 OH Primary

Addresses

Primary practice location

2960 W Enon Rd
Xenia, OH 45385-8548

Mailing address

2960 W Enon Rd
Xenia, OH 45385-8548
Phone (937) 272-4925

Other practice location 1

1087 W 2nd St
Xenia, OH 45385-3713
Phone (937) 708-8286

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

LicenseStateTypeSpecialty
CDCA.186713OHMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Emerge Recovery and Trades Initiative CurrentSince Jan 7, 2024 Accepting new patients
Emerge Recovery and Trades Initiative CurrentSince Sep 8, 2025 Accepting new patients
Simon Kenton Bridges of Hope PastSince Jul 31, 2023 Accepting new patients

Locations

2960 W Enon Rd
Xenia, OH 45385
Phone (937) 272-4925

Organizations & group practices 3

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": "1704153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704153600000",
    "number": "1649049651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2960 W ENON RD",
            "city": "XENIA",
            "state": "OH",
            "postal_code": "453858548",
            "telephone_number": "937-272-4925",
            "fax_number": "937-984-4346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2960 W ENON RD",
            "city": "XENIA",
            "state": "OH",
            "postal_code": "453858548",
            "telephone_number": "937-272-4925",
            "fax_number": "937-984-4346"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1087 W 2nd St",
            "address_purpose": "LOCATION",
            "city": "Xenia",
            "state": "OH",
            "postal_code": "453853713",
            "country_code": "US",
            "telephone_number": "937-708-8286",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GROUT",
        "first_name": "LESLIE",
        "middle_name": "MARIE",
        "credential": "CDCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-02",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCA.186713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Xenia, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2024; 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.