Individual provider Active NPI

Leslie William Howard IV, MAFO, LPC

  • Professional Counselor
  • Chicago, IL
National Provider Identifier
1790355519
Registry record updated Jun 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
178.017088 Issued in IL
Practice address
1409 W Irving Park Rd
Chicago, IL 60613-1920
Phone
(872) 201-8326
NPI assigned
Jun 25, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 178.017088 IL Primary

Addresses

Primary practice location

1409 W Irving Park Rd
Chicago, IL 60613-1920

Mailing address

1134 W Granville Ave Apt 1212
Chicago, IL 60660-5060
Phone (731) 659-1994

Other names 1

  • Mr. Kar Howard Other name

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
178.017088ILMDProfessional Counselor

Interoperability endpoints

  • Direct secure messaging: leslie.howard.1@21300.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1624579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624579200000",
    "number": "1790355519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1134 W GRANVILLE AVE APT 1212",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606605060",
            "telephone_number": "731-659-1994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 W IRVING PARK RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606131920",
            "telephone_number": "872-201-8326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOWARD",
        "first_name": "LESLIE",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "name_suffix": "IV",
        "credential": "MAFO, LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-25",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.017088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAR",
            "last_name": "HOWARD",
            "prefix": "MR.",
            "credential": "MAFO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2021; 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.