KRISTINA MARIE LESLIE (NPI# 1245544204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245544204 |
| Entity Type | Individual |
| Full Name | KRISTINA MARIE LESLIE |
| Other Name | KRISTINA MARIE DORMAN |
| Credential | LMFT-170 |
| Practice Address |
3907 Chippewa Ave Gillette WY 82718-6674 |
| Practice Telephone | 9499223043 |
| Practice Fax Number | 3073634807 |
| Mailing Telephone | 3076823747 |
| Mailing Fax Number | 3076823748 |
| Enumeration Date | 2010-08-02 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | LMFT-170 | WY | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 801 E 4th St Ste 12, Gillette, WY 827164061 | 3076823747 | 3076823748 |
| 1430 Wilkins Cir, Casper, WY 826011336 | 3072379583 |
| Street Address |
3907 CHIPPEWA AVE |
| City | GILLETTE |
| State | WY |
| Zip Code | 82718-6674 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790205318 | Kaydie Merrill | Behavioral Analyst | 3907 Chippewa Ave, Gillette, WY 82718-6674 | 2017-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912413964 | Kaylyn Brook Bahnson | Pharmacist | 2000 South Douglas Hwy Walgreens Pharmacy, Gillette, WY 82718 | 2017-12-28 |
| 1205373073 | Cheryl Trembath | Counselor | 201 West Lakeway Rd, Suite 1004, Gillette, WY 82718 | 2017-01-31 |
| 1043769078 | Employment Testing Services | Clinical Medical Laboratory | 3805 South Douglas Hwy, Unit 1, Gillette, WY 82718 | 2016-10-03 |
| 1750730339 | Caritas Mental Health LLC | Community/Behavioral Health | 5204 Raven St, Gillette, WY 82718 | 2016-06-06 |
| 1902298029 | Jena Cowen | Day Training, Developmentally Disabled Services | 5305 Cowen Drive, Gillette, WY 82718 | 2015-02-26 |
| 1720480635 | Brenda Kay Upton | Pharmacist | 2300 S Douglas Highway, Gillette, WY 82718 | 2014-09-23 |
| 1891127825 | Bighorn Dental Clinic PC | Dentist | 4403 Running W. Drive, Gillette, WY 82718 | 2013-08-01 |
| 1750726212 | High Desert Healthcare LLC | Clinic/Center | 1013 East Boxelder Rd, Suite 200, Gillette, WY 82718 | 2013-05-09 |
| 1225224231 | County of Campbell | Public Health or Welfare | 2301 South 4j Rd, Gillette, WY 82718 | 2007-09-24 |
| 1043424336 | Lowell R Amiotte II | Anesthesiology | 3100 W Lakeway Suite 3, Northern Plains Anesthesia Associates, Gillette, WY 82718 | 2007-05-09 |
| Find all providers in zip 82718 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366797896 | Robin K. Voigt, LLC | Marriage & Family Therapist | 405 West Boxelder Rd, C8, Gillette, WY 82718-5320 | 2012-07-20 |
| 1063922920 | Bradley Hudson | Marriage & Family Therapist | 812 E 4th St, Gillette, WY 82716-4033 | 2017-10-05 |
| 1639496250 | Kyle D Tew | Marriage & Family Therapist | 501 S Burma Ave, Gillette, WY 82716-3426 | 2010-04-21 |
| 1881846038 | Amy Himes | Marriage & Family Therapist | 501 S Burma Ave, Gillette, WY 82716-3426 | 2008-10-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043854888 | Wayne Kenneth Mcpherson Jr. | Marriage & Family Therapist | 512 W. Lott, Buffalo, WY 82834-1336 | 2019-11-05 |
| 1700341914 | Heidi Christine Somers | Marriage & Family Therapist | 330 N Glenwood St, Jackson, WY 83001-8765 | 2019-02-01 |
| 1275067811 | High Point Counseling | Marriage & Family Therapist | 2632 Foothill Blvd Ste 101, Rock Springs, WY 82901-4757 | 2017-04-19 |
| 1770939928 | Allison Felker | Marriage & Family Therapist | 4720 Spur Dr, Cheyenne, WY 82001-6493 | 2016-05-06 |
| 1477934586 | Auburn Amanda Robertson | Marriage & Family Therapist | 1013 Sage St, Evanston, WY 82930-3448 | 2015-06-15 |
| 1306261102 | Kellie Fitzgibbons | Marriage & Family Therapist | 1701 Stampede Ave Ste 205, Cody, WY 82414-4818 | 2014-03-03 |
| 1003238718 | Jessica Zamudio Bright | Marriage & Family Therapist | 1800 Edinburgh Street, Rawlins, WY 82301 | 2014-01-15 |
| 1750637393 | John Darris Ellis | Marriage & Family Therapist | Yellowstone Behavioral Health 2538 Big Horn Ave, Cody Office, Cody, WY 82414-9299 | 2012-08-01 |
| 1386947877 | Deann Fox | Marriage & Family Therapist | 1775 Spring Creek Rd, Cheyenne, WY 82009-8846 | 2010-12-06 |
| 1003134628 | Amy M. Sennett | Marriage & Family Therapist | 748 Main St., Lander, WY 82520 | 2010-05-06 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.