Individual provider Active NPI

Leslie Nora Winslow-Keats, LMHC

  • Mental Health Counselor
  • Dedham, MA
National Provider Identifier
1780722702
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
5722 Issued in MA
Practice address
20 Eastbrook Road
Strattus...Till'S Behavioral Health Centre
Dedham, MA 02026
Phone
(781) 302-4752
Fax
(781) 302-4635
NPI assigned
Feb 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 5722 MA Primary
Mental Health Counselor 101YM0800X 000904-1 NY

Addresses

Primary practice location

20 Eastbrook Road
Strattus...Till'S Behavioral Health Centre
Dedham, MA 02026

Mailing address

24 South St
Unit #22
Medford, MA 02155-4475
Phone (781) 395-2958

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
5722MAMDMental Health Counselor
000904-1NYMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780722702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 SOUTH ST",
            "address_2": "UNIT #22",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021554475",
            "telephone_number": "781-395-2958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 EASTBROOK ROAD",
            "address_2": "STRATTUS...TILL'S BEHAVIORAL HEALTH CENTRE",
            "city": "DEDHAM",
            "state": "MA",
            "postal_code": "02026",
            "telephone_number": "781-302-4752",
            "fax_number": "781-302-4635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINSLOW-KEATS",
        "first_name": "LESLIE",
        "middle_name": "NORA",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "5722",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "000904-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dedham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.