Active NPI
Christine A Leslie, MA, LPC
- Professional Counselor
- Ballwin, MO
National Provider Identifier
1790567113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 001669
- Practice address
- 1308 Kiefer Bluffs Dr
Ballwin, MO 63021-8223 - Phone
- (314) 420-4909
- NPI assigned
- Oct 19, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 001669 | MO | Primary |
Addresses
Primary practice location
1308 Kiefer Bluffs Dr
Ballwin, MO 63021-8223
Mailing address
14713 Sherwood St
Leawood, KS 66224-3840
Phone (314) 420-4909
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001669 | MO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1697673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697673600000",
"number": "1790567113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14713 SHERWOOD ST",
"city": "LEAWOOD",
"state": "KS",
"postal_code": "662243840",
"telephone_number": "314-420-4909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1308 KIEFER BLUFFS DR",
"city": "BALLWIN",
"state": "MO",
"postal_code": "630218223",
"telephone_number": "314-420-4909"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LESLIE",
"first_name": "CHRISTINE",
"middle_name": "A",
"credential": "MA, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-10-19",
"last_updated": "2023-10-19",
"certification_date": "2023-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "001669",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ballwin, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.