Individual provider Active NPI

Leslie Christine Braggs, CDPT

  • Addiction (Substance Use Disorder) Counselor
  • Kent, WA
National Provider Identifier
1891283099
Registry record updated Apr 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
60336930 Issued in WA
Practice address
24823 Pacific Hwy S Ste 103
Kent, WA 98032-5478
Phone
(253) 681-0010
Fax
(253) 681-0014
NPI assigned
Apr 24, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 60336930 WA Primary

Addresses

Primary practice location

24823 Pacific Hwy S Ste 103
Kent, WA 98032-5478

Mailing address

24823 Pacific Hwy S Ste 103
Kent, WA 98032-5478
Phone (253) 681-0010

Other names 1

  • Mrs. Leslie Christine Braggs 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
60336930WAMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1524528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524528000000",
    "number": "1891283099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24823 PACIFIC HWY S STE 103",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980325478",
            "telephone_number": "253-681-0010",
            "fax_number": "253-681-0014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24823 PACIFIC HWY S STE 103",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980325478",
            "telephone_number": "253-681-0010",
            "fax_number": "253-681-0014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAGGS",
        "first_name": "LESLIE",
        "middle_name": "CHRISTINE",
        "credential": "CDPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-24",
        "last_updated": "2018-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "60336930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LESLIE",
            "last_name": "BRAGGS",
            "middle_name": "CHRISTINE",
            "prefix": "MRS.",
            "credential": "CDPT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Kent, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2018; 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.