Individual provider Active NPI

Leslie Woodris

  • Mental Health Counselor
  • West Des Moines, IA
National Provider Identifier
1841757952
Registry record updated Apr 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
094527 Issued in IA
Practice address
4949 Pleasant St Ste 202
West Des Moines, IA 50266-5495
Phone
(515) 553-8811
NPI assigned
Feb 25, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 094527 IA Primary

Addresses

Primary practice location

4949 Pleasant St Ste 202
West Des Moines, IA 50266-5495

Mailing address

4949 Pleasant St Ste 202
West Des Moines, IA 50266-5495

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rise Expressive Art Therapy LLC Mental Health CurrentSince Apr 21, 2024 Accepting new patients

Locations

4949 Pleasant St
Ste 202
West Des Moines, IA 50266
Phone (515) 291-5731

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1551052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1841757952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4949 PLEASANT ST STE 202",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502665495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4949 PLEASANT ST STE 202",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502665495",
            "telephone_number": "515-553-8811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODRIS",
        "first_name": "LESLIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-25",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "094527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2024; 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.