Active NPI
Leslie G Nelson II, MSW
- Counselor
- Gladstone, OR
National Provider Identifier
1689867335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 880 82ND Dr
Gladstone, OR 97027-1803 - Phone
- (503) 659-5515
- Fax
- (503) 659-1994
- NPI assigned
- Aug 24, 2007
- Last updated
- May 12, 2015
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
880 82ND Dr
Gladstone, OR 97027-1803
Mailing address
PO Box 82819
Portland, OR 97282-0819
Phone (503) 233-5405
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifeworks NW | Current | Accepting new patients |
Locations
971 SW Walnut St
Hillsboro, OR 97123
Phone (503) 640-5297
5415 SW Westgate Dr
Portland, OR 97221
Phone (503) 645-9010
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.
-
- Mental Health Counselor
- Portland, OR
- NPI 1467408013
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431388800000",
"number": "1689867335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 82819",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972820819",
"telephone_number": "503-233-5405",
"fax_number": "503-233-5409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "880 82ND DR",
"city": "GLADSTONE",
"state": "OR",
"postal_code": "970271803",
"telephone_number": "503-659-5515",
"fax_number": "503-659-1994"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "LESLIE",
"middle_name": "G",
"name_suffix": "II",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-24",
"last_updated": "2015-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gladstone, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2015; 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.