Individual provider Active NPI

Leshaunne Charise Coxum, LPC

  • Marriage & Family Therapist
  • Fort Worth, TX
National Provider Identifier
1700181849
Registry record updated Oct 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
63906 Issued in TX
Practice address
3212 Collinsworth St Ste 22
Fort Worth, TX 76107-6507
Phone
(817) 829-4749
NPI assigned
Jan 21, 2011
Last updated
Oct 2, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 63906 TX Primary

Addresses

Primary practice location

3212 Collinsworth St Ste 22
Fort Worth, TX 76107-6507

Mailing address

PO Box 16071
Fort Worth, TX 76162-0071
Phone (817) 829-4749

Other identifiers 3

IdentifierTypeStateIssuer
284676802OtherTXMEDICAID CSHCN
284676801MedicaidTX
12746100044000OtherTXDARS VID#

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
63906TXMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Practical Counseling Services Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1295568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349136000000",
    "number": "1700181849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16071",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761620071",
            "telephone_number": "817-829-4749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3212 COLLINSWORTH ST STE 22",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761076507",
            "telephone_number": "817-829-4749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COXUM",
        "first_name": "LESHAUNNE",
        "middle_name": "CHARISE",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-21",
        "last_updated": "2012-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "63906",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID CSHCN",
            "identifier": "284676802",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "284676801",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DARS VID#",
            "identifier": "12746100044000",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2012; 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.