Individual provider Active NPI

Leslie Green, LISW-S

  • Mental Health Counselor
  • Garfield Heights, OH
National Provider Identifier
1720359508
Registry record updated Dec 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
I.2102656 Issued in OH
Practice address
13201 Granger Rd Ste 8
Garfield Heights, OH 44125-1979
Phone
(216) 831-2255
NPI assigned
Jan 25, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X I.2102656 OH Primary
Mental Health Counselor 101YM0800X I.2012656 OH

Addresses

Primary practice location

13201 Granger Rd Ste 8
Garfield Heights, OH 44125-1979

Mailing address

1397 Brainard Rd
Lyndhurst, OH 44124-1456
Phone (440) 549-0533

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20220317001217 OH Practitioner - Clinical Social Worker 2466847058 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.2012656OHMDMental Health Counselor
I.2102656OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Care Alliance Current Accepting new patients
Care Alliance CurrentSince Jan 13, 2025 Accepting new patients
Belinda J. Torres, PH.D. & Associates, LLC CurrentSince Dec 11, 2021 Accepting new patients
Care Alliance CurrentSince Jan 13, 2025 Accepting new patients
Beech Brook CurrentSince Dec 22, 2024 Accepting new patients

Locations

1530 Saint Clair Ave NE
Cleveland, OH 44114
Phone (216) 535-9100

2916 Central Ave
Cleveland, OH 44115
Phone (216) 535-9100

6001 Woodland Ave
Cleveland, OH 44104
Phone (216) 431-2018

13201 Granger Rd
Ste 8
Garfield Hts, OH 44125
Phone (216) 831-2555

35040 Chardon Rd
Ste 115
Willoughby Hills, OH 44094
Phone (440) 358-1159

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1327449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734652800000",
    "number": "1720359508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1397 BRAINARD RD",
            "city": "LYNDHURST",
            "state": "OH",
            "postal_code": "441241456",
            "telephone_number": "440-549-0533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13201 GRANGER RD STE 8",
            "city": "GARFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441251979",
            "telephone_number": "216-831-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "LESLIE",
        "credential": "LISW-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-25",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "I.2102656",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "I.2012656",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garfield Heights, OH

Sources for this page

Verify at the official NPI Registry.