Active NPI
Leslie Ann Miller, LPC
- Professional Counselor
- Springfield, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 178021594
- Practice address
- 3008 Happy Landing Dr
Springfield, IL 62711-6259 - Phone
- (630) 428-7890
- Fax
- (630) 428-7891
- NPI assigned
- Jun 11, 2021
- Last updated
- Aug 7, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPCC.0020757 | CO | |
| Professional Counselor | 101YP2500X | 178021594 | IL | Primary |
Addresses
Primary practice location
3008 Happy Landing Dr
Springfield, IL 62711-6259
Mailing address
3008 Happy Landing Dr
Springfield, IL 62711-6259
Phone (630) 428-7890
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240625001213 | CO | Practitioner - Mental Health Counselor | 3779026208 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPCC.0020757 | CO | MD | Professional Counselor |
| 178021594 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edgewood Clinical Services, P.C. | Current | Accepting new patients | |
| Heart Centered Counseling, PC | Professional | Current | Accepting new patients |
| Trauma & Therapy Center of TN., PLLC | Professional | Past | Accepting new patients |
Locations
4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392
215 W Oak St
Fl 4
Fort Collins, CO 80521
Phone (253) 346-1331
3008 Happy Landing Dr
Springfield, IL 62711
Phone (217) 523-4534
Organizations & group practices 3
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.
-
dba LifeStance Health
- Mental Health Counselor
- Fort Collins, CO
- NPI 1588038681
Professional
-
- Professional Counselor
- Clarksville, TN
- NPI 1457814675
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754524800000",
"number": "1740858273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3008 HAPPY LANDING DR",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627116259",
"telephone_number": "630-428-7890",
"fax_number": "630-428-7891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3008 HAPPY LANDING DR",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627116259",
"telephone_number": "630-428-7890",
"fax_number": "630-428-7891"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "LESLIE",
"middle_name": "ANN",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-11",
"last_updated": "2025-08-07",
"certification_date": "2025-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "LPCC.0020757",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "178021594",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2025; 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.