Active NPI
Leslie Hodge
- Marriage & Family Therapist
- San Bernardino, CA
National Provider Identifier
1780085449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Practice address
- 202 E Airport Dr Ste 265
San Bernardino, CA 92408-3444 - Phone
- (925) 819-8207
- NPI assigned
- Sep 11, 2014
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | CA | ||
| Case Manager/Care Coordinator | 171M00000X | |||
| Community Health Worker | 172V00000X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Marriage & Family Therapist | 106H00000X | CA | Primary |
Addresses
Primary practice location
202 E Airport Dr Ste 265
San Bernardino, CA 92408-3444
Mailing address
PO Box 6044
Tampa, FL 33608-0044
Phone (925) 819-8207
Other practice location 1
390 40th St
Oakland, CA 94609-2633
Phone (510) 653-5040
Other practice location 2
6051 N Fresno St Ste 201
Fresno, CA 93710-5280
Phone (559) 840-5943
Other practice location 3
1630 E Shaw Ave Ste 150
Fresno, CA 93710
Phone (559) 248-8550
Other names 1
- Leslie Anderson
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658275200000",
"number": "1780085449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6044",
"city": "TAMPA",
"state": "FL",
"postal_code": "336080044",
"telephone_number": "925-819-8207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 E AIRPORT DR STE 265",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924083444",
"telephone_number": "925-819-8207"
}
],
"practiceLocations": [
{
"address_1": "390 40th St",
"address_purpose": "LOCATION",
"city": "Oakland",
"state": "CA",
"postal_code": "946092633",
"country_code": "US",
"telephone_number": "510-653-5040",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6051 N Fresno St Ste 201",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937105280",
"country_code": "US",
"telephone_number": "559-840-5943",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1630 E Shaw Ave Ste 150",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "93710",
"country_code": "US",
"telephone_number": "559-248-8550",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HODGE",
"first_name": "LESLIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-11",
"last_updated": "2022-07-20",
"certification_date": "2022-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LESLIE",
"last_name": "ANDERSON",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in San Bernardino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.