Active NPI
Leslie Reprogle, LAC
- Mental Health Counselor
- Phoenix, AZ
National Provider Identifier
1679449672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LAC-14405
- Practice address
- 4302 E Broadway Rd
Phoenix, AZ 85040-8808 - Phone
- (480) 758-8717
- NPI assigned
- Oct 15, 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LAC-14405 | AZ | Primary |
Addresses
Primary practice location
4302 E Broadway Rd
Phoenix, AZ 85040-8808
Mailing address
2760 E Cedar PL
Chandler, AZ 85249-3566
Phone (480) 213-2308
Other practice location 1
20325 N 51st Ave Ste 168
Glendale, AZ 85308-4624
Phone (844) 385-3747
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 |
|---|---|---|---|
| LAC-14405 | AZ | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Agape Adoption Agency of Arizona, Inc. | Current | Accepting new patients | |
| Raymond W Lemberg PHD PC | Single Specialty | Past | Accepting new patients |
Locations
4302 E Broadway Rd
Phoenix, AZ 85040
Phone (480) 272-7994
Organizations & group practices 2
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.
-
- Foster Care Agency
- Phoenix, AZ
- NPI 1073360533
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1760486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760486400000",
"number": "1679449672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2760 E CEDAR PL",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852493566",
"telephone_number": "480-213-2308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4302 E BROADWAY RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850408808",
"telephone_number": "480-758-8717"
}
],
"practiceLocations": [
{
"address_1": "20325 N 51st Ave Ste 168",
"address_purpose": "LOCATION",
"city": "Glendale",
"state": "AZ",
"postal_code": "853084624",
"country_code": "US",
"telephone_number": "844-385-3747",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REPROGLE",
"first_name": "LESLIE",
"credential": "LAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-10-15",
"last_updated": "2025-10-15",
"certification_date": "2025-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "AZ",
"license": "LAC-14405",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.