Individual provider Active NPI

Leslie Rochelle Roberts, LPC

  • Mental Health Counselor
  • Edmond, OK
National Provider Identifier
1659507424
Registry record updated Mar 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2993 Issued in OK
Practice address
16749 Little Leaf CT
Edmond, OK 73012-0678
Phone
(405) 474-5359
NPI assigned
Jun 6, 2009
Last updated
Mar 2, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2021

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 2993 OK Primary

Addresses

Primary practice location

16749 Little Leaf CT
Edmond, OK 73012-0678

Mailing address

16749 Little Leaf CT
Edmond, OK 73012-0678
Phone (405) 474-5359

Other practice location 1

3343 Coyote Run
Piedmont, OK 73078-8019
Phone (405) 373-3446

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1244246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614643200000",
    "number": "1659507424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16749 LITTLE LEAF CT",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730120678",
            "telephone_number": "405-474-5359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16749 LITTLE LEAF CT",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730120678",
            "telephone_number": "405-474-5359"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3343 Coyote Run",
            "address_purpose": "LOCATION",
            "city": "Piedmont",
            "state": "OK",
            "postal_code": "730788019",
            "country_code": "US",
            "telephone_number": "405-373-3446",
            "fax_number": "405-373-3446",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "LESLIE",
        "middle_name": "ROCHELLE",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-06",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "2993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2021; 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.