Active NPI
Leslie Marie Martin, LCSW, CSAC
- Addiction (Substance Use Disorder) Counselor
- Herndon, VA
National Provider Identifier
1831210483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 0710101842
- Practice address
- 108 Elden St
Suite 15-C
Herndon, VA 20170-4828 - Phone
- (703) 796-6380
- Fax
- (703) 796-6381
- NPI assigned
- Apr 2, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 0904005772 | VA | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 0710101842 | VA | Primary |
Addresses
Primary practice location
108 Elden St
Suite 15-C
Herndon, VA 20170-4828
Mailing address
6805 Innesfree Way
Gainesville, VA 20155-4414
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0904005772 | VA | MD | Counselor |
| 0710101842 | VA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1831210483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6805 INNESFREE WAY",
"city": "GAINESVILLE",
"state": "VA",
"postal_code": "201554414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 ELDEN ST",
"address_2": "SUITE 15-C",
"city": "HERNDON",
"state": "VA",
"postal_code": "201704828",
"telephone_number": "703-796-6380",
"fax_number": "703-796-6381"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "LESLIE",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "LCSW, CSAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-02",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "VA",
"license": "0904005772",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "VA",
"license": "0710101842",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Herndon, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.