Individual provider Active NPI

Leslie Weisner, LMFT

  • Marriage & Family Therapist
  • Portland, OR
National Provider Identifier
1760568232
Registry record updated Jan 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
T0665 Issued in OR
Practice address
3530 N Vancouver Ave Ste 400
Portland, OR 97227-1798
Phone
(503) 249-8851
Fax
(503) 249-8851
NPI assigned
Oct 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2023

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 T0665 OR Primary

Addresses

Primary practice location

3530 N Vancouver Ave Ste 400
Portland, OR 97227-1798

Mailing address

14412 SE 14TH St
Vancouver, WA 98683-7524
Phone (360) 260-3919

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
T0665ORMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kartini Clinic PC CurrentSince Jul 24, 2022 Accepting new patients

Locations

3530 N Vancouver Ave
Ste 400
Portland, OR 97227
Phone (503) 249-8851

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673568000000",
    "number": "1760568232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14412 SE 14TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986837524",
            "telephone_number": "360-260-3919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3530 N VANCOUVER AVE STE 400",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972271798",
            "telephone_number": "503-249-8851",
            "fax_number": "503-249-8851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISNER",
        "first_name": "LESLIE",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-27",
        "last_updated": "2023-01-13",
        "certification_date": "2023-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OR",
            "license": "T0665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2023; 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.