Individual provider Active NPI

Jamie Lynn Leslie, LPC

  • Professional Counselor
  • Casper, WY
National Provider Identifier
1962781765
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1373 Issued in WY
Practice address
701 Antler Dr Ste 111
Casper, WY 82601-1747
Phone
(307) 439-5665
NPI assigned
Aug 10, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X PPC-599 WY
Professional Counselor 101YP2500X 1373 WY Primary

Addresses

Primary practice location

701 Antler Dr Ste 111
Casper, WY 82601-1747

Mailing address

701 Antler Dr Ste 111
Casper, WY 82601-1747
Phone (307) 439-5665

Other practice location 1

812 S David St
Casper, WY 82601-3736
Phone (307) 237-5750

Other practice location 2

1430 Wilkins Circle
Casper, WY 82601-1336
Phone (307) 237-9583

Other names 1

  • Miss Jamie Lynn Day Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240829000404 WY Practitioner - Mental Health Counselor 7911446372 Practice locations: Casper, WY

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

701 Antler Dr
Suite 111
Casper, WY 82601-1747
Phone (307) 439-5665

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PPC-599WYMDCounselor
1373WYMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1312934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1962781765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 ANTLER DR STE 111",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826011747",
            "telephone_number": "307-439-5665",
            "fax_number": "307-439-5698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 ANTLER DR STE 111",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826011747",
            "telephone_number": "307-439-5665"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "812 S David St",
            "address_purpose": "LOCATION",
            "city": "Casper",
            "state": "WY",
            "postal_code": "826013736",
            "country_code": "US",
            "telephone_number": "307-237-5750",
            "fax_number": "307-265-7277",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1430 Wilkins Circle",
            "address_purpose": "LOCATION",
            "city": "Casper",
            "state": "WY",
            "postal_code": "826011336",
            "country_code": "US",
            "telephone_number": "307-237-9583",
            "fax_number": "307-265-7277",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LESLIE",
        "first_name": "JAMIE",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-10",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WY",
            "license": "PPC-599",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WY",
            "license": "1373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMIE",
            "last_name": "DAY",
            "middle_name": "LYNN",
            "prefix": "MISS",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Casper, WY

Sources for this page

Verify at the official NPI Registry.