Individual provider Active NPI

Lesley Fidler

  • Professional Counselor
  • Jensen Beach, FL
National Provider Identifier
1891436291
Registry record updated Apr 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
1601 NE Braille PL
Jensen Beach, FL 34957-5345
Phone
(772) 320-0770
NPI assigned
Apr 7, 2022
Last updated
Apr 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

1601 NE Braille PL
Jensen Beach, FL 34957-5345

Mailing address

1601 NE Braille PL
Jensen Beach, FL 34957-5345
Phone (772) 320-0770

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL LaurisOnline Health Information Exchange (HIE) Helping People Succeed

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
HPS, Helping People Succeed, Inc. CurrentSince Feb 8, 2023 Accepting new patients
Helping People Succeed Past Accepting new patients

Locations

1601 NE Success Dr
Jensen Beach, FL 34957
Phone (772) 320-0770

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1649289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649289600000",
    "number": "1891436291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 NE BRAILLE PL",
            "city": "JENSEN BEACH",
            "state": "FL",
            "postal_code": "349575345",
            "telephone_number": "772-320-0770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 NE BRAILLE PL",
            "city": "JENSEN BEACH",
            "state": "FL",
            "postal_code": "349575345",
            "telephone_number": "772-320-0770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIDLER",
        "first_name": "LESLEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-07",
        "last_updated": "2022-04-07",
        "certification_date": "2022-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "LaurisOnline",
            "affiliation": "Y",
            "endpointDescription": "Lauris",
            "affiliationName": "Helping People Succeed",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1100 SE Federal Hwy",
            "city": "Stuart",
            "state": "FL",
            "country_code": "US",
            "postal_code": "349943823",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jensen Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.