Leslie Brett Markham

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

3434 Issued in AL

Practice address

110 Medical Center Dr
Clanton, AL 35045-2332

Phone

(205) 755-7060

Fax

(205) 755-5933

NPI assigned

Feb 8, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/centralalabamawellness/r4/

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.

• Mental Health Board of Chilton and Shelby Counties Inc

  • Community/Behavioral Health Agency
  • Clanton, AL
  • NPI 1487829966
  NPD (past)
• Mental Health Board of Chilton and Shelby Counties Inc

  • Community/Behavioral Health Agency
  • Calera, AL
  • NPI 1639247869
  NPD (past)

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

{
    "created_epoch": "1518048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518048000000",
    "number": "1699274332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 689",
            "city": "CALERA",
            "state": "AL",
            "postal_code": "350400689",
            "telephone_number": "205-668-4308",
            "fax_number": "205-668-4957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 MEDICAL CENTER DR",
            "city": "CLANTON",
            "state": "AL",
            "postal_code": "350452332",
            "telephone_number": "205-755-7060",
            "fax_number": "205-755-5933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKHAM",
        "first_name": "LESLIE",
        "middle_name": "BRETT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-02-08",
        "last_updated": "2018-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "3434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dara S Lowery, RPT
• Bethany Baker Lyn, O.D.
• Maurice Jose Lyn, O.D.
• Mallard Eyecare, Inc
• Bonnie E Mallard, OD
• Donna Marsh, LPC
• Matthew J. McCain DMD, LLC
• Leshunn Renee McLeod, LPC
• Medico,Inc.
• Mental Health Board of Chilton and Shelby Counties Inc

• All providers in Clanton, AL
• Professional Counselor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2018; 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.