Individual provider Active NPI

Leslie Reprogle, LAC

  • Mental Health Counselor
  • Phoenix, AZ
National Provider Identifier
1679449672
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LAC-14405 Issued in AZ
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

Updated by the provider on Oct 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 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

LicenseStateTypeSpecialty
LAC-14405AZMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Agape Adoption Agency of Arizona, Inc. CurrentSince Oct 21, 2025 Accepting new patients
Raymond W Lemberg PHD PC Single Specialty PastSince Jan 1, 2024 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.

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.

Verify at the official NPI Registry.