Active NPI
Leslie Lynn Walden, LPC-INTERN
- Counselor
- Bedford, TX
National Provider Identifier
1699282293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 76783
- Practice address
- 3901 Airport Fwy Ste 107
Bedford, TX 76021-6117 - Phone
- (817) 812-2880
- Fax
- (817) 812-3096
- NPI assigned
- Jan 4, 2018
- 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 | 76783 | TX | Primary |
Addresses
Primary practice location
3901 Airport Fwy Ste 107
Bedford, TX 76021-6117
Mailing address
3901 Airport Fwy Ste 107
Bedford, TX 76021-6117
Phone (817) 812-2880
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 |
|---|---|---|---|
| 76783 | TX | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1515024000000",
"number": "1699282293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3901 AIRPORT FWY STE 107",
"city": "BEDFORD",
"state": "TX",
"postal_code": "760216117",
"telephone_number": "817-812-2880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3901 AIRPORT FWY STE 107",
"city": "BEDFORD",
"state": "TX",
"postal_code": "760216117",
"telephone_number": "817-812-2880",
"fax_number": "817-812-3096"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALDEN",
"first_name": "LESLIE",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "LPC-INTERN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-04",
"last_updated": "2018-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "TX",
"license": "76783",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bedford, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.