NPIMap

Individual provider Active NPI

Leslie Adair Labrie

  • Clinical Psychologist
  • Caro, MI
National Provider Identifier
1659567485
Registry record updated Sep 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301006281 Issued in MI
Practice address
2000 Chambers Rd
Caro, MI 48723-9293
Phone
(989) 673-3191
Fax
(989) 673-0064
NPI assigned
Sep 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 6301006281 MI Primary

Addresses

Primary practice location

2000 Chambers Rd
Caro, MI 48723-9293

Mailing address

2000 Chambers Rd
Caro, MI 48723-9293
Phone (989) 673-3191

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
6301006281MIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
New Day Counseling Past Accepting new patients
State of Michigan Office of Financial Management Past Accepting new patients
State of Michigan Office of Financial Management Past Accepting new patients

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": "1189728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189728000000",
    "number": "1659567485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 CHAMBERS RD",
            "city": "CARO",
            "state": "MI",
            "postal_code": "487239293",
            "telephone_number": "989-673-3191",
            "fax_number": "989-673-0064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 CHAMBERS RD",
            "city": "CARO",
            "state": "MI",
            "postal_code": "487239293",
            "telephone_number": "989-673-3191",
            "fax_number": "989-673-0064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LABRIE",
        "first_name": "LESLIE",
        "middle_name": "ADAIR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-14",
        "last_updated": "2007-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301006281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caro, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2007; 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.