Leslie Wade King, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

15291 Issued in TX

Practice address

16303 Drystone LN
Houston, TX 77095-4534

Phone

(713) 894-5571

Fax

(713) 490-3167

NPI assigned

Nov 6, 2006

Last updated

Nov 22, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Red Rock Family Services LLC

  • Community/Behavioral Health Agency
  • Cottonwood, AZ
  • NPI 1215568324
  Medicare reassignment NPD Authorized official
• Leslie Wade King

  • Counselor
  • Houston, TX
  • NPI 1346291523
  NPD (past) Authorized official
• Propsych Management, Inc.

  • Counselor
  • Houston, TX
  • NPI 1487686267
  NPD (past) Authorized official
• Red Rock Child and Family Services LLC

  • Mental Health Counselor
  • Colorado Springs, CO
  • NPI 1093477473
  NPD (past)

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700611200000",
    "number": "1679642615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16303 DRYSTONE LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770954534",
            "telephone_number": "713-894-5571",
            "fax_number": "713-490-3167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16303 DRYSTONE LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770954534",
            "telephone_number": "713-894-5571",
            "fax_number": "713-490-3167"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "707 E Mingus Ave Ste 400",
            "address_purpose": "LOCATION",
            "city": "Cottonwood",
            "state": "AZ",
            "postal_code": "863263746",
            "country_code": "US",
            "telephone_number": "928-649-0447",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KING",
        "first_name": "LESLIE",
        "middle_name": "WADE",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2023-11-22",
        "certification_date": "2023-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPC.0015189",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LPC18703",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "15291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000964",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2117350-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristi L King
• Krystle Dawne King, MS, LPC-ASSOCIATE
• Laekin Symone King, M.S. CCC-SLP
• Larry King Jr.
• Laura C King, PMHNP-BC
• Loretta King, NURSE PRACTITIONER
• Marc Robert King, PH.D.
• Mary-Margaret Adelle King, OTR
• Matthew King, MD
• Matthew King, MD

• Mental Health Counselor in Houston, TX
• Providers in Houston, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.