Garrett Mark Leslie, LMHC, FL-CSPV.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH10254 Issued in FL

Practice address

101 S Central Ave
Oviedo, FL 32765-9027

Phone

(407) 415-6557

Fax

(407) 680-5628

NPI assigned

Mar 18, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 9

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Tree of Life Counseling and Ministries

  • Community/Behavioral Health Agency
  • Oviedo, FL
  • NPI 1326740564
  NPD
• Boys Town of Central Florida, Inc.

  • Counselor
  • Oviedo, FL
  • NPI 1245348879
  NPD (past)

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

{
    "created_epoch": "1268870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665446400000",
    "number": "1881918944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 S CENTRAL AVE",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327659027",
            "telephone_number": "407-415-6557",
            "fax_number": "407-680-5628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S CENTRAL AVE",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327659027",
            "telephone_number": "407-415-6557",
            "fax_number": "407-680-5628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESLIE",
        "first_name": "GARRETT",
        "middle_name": "MARK",
        "name_prefix": "Mr.",
        "credential": "LMHC, FL-CSPV.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-03-18",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "PMH931",
            "primary": false
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "FL",
            "license": "20311",
            "primary": false
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "FL",
            "license": "ID702838",
            "primary": false
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "GA",
            "license": "ID702838",
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "GA",
            "license": "EXPIRED",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "C-BSW",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH10254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "gleslie@treeoflifecounselingcare.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "101 S Central Ave",
            "city": "Oviedo",
            "state": "FL",
            "country_code": "US",
            "postal_code": "327659027",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "damelis@treeoflifecounselingcare.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "101 S Central Ave",
            "city": "Oviedo",
            "state": "FL",
            "country_code": "US",
            "postal_code": "327659027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Allen Ray Lee Jr., LDO
• Chelsea Lee
• Raymond S Lee, D.M.D.
• Roland Lee Jr.
• Legacy Healthcare Services Inc
• Gloria Leung
• Hannah Morgan Lewis, DPT
• Katherine Lewis, PT DPT
• Rhonda Lewis, MA CCC-SLP
• Alexander Leyte-Vidal, D.D.S.

• Mental Health Counselor in Oviedo, FL
• Providers in Oviedo, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2022; 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.