LESLIE KELLY (NPI# 1790791382) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790791382 |
| Entity Type | Individual |
| Full Name | LESLIE KELLY |
| Credential | LPC |
| Practice Address |
3rd Ambulatory Care Ctr 2211 Lomas Blvd. Ne Albuquerque NM 87131-0001 |
| Mailing Address |
2211 Lomas Blvd Ne Msc10 5590 Albuquerque NM 87131-0001 |
| Practice Telephone | 5052723172 |
| Mailing Telephone | 5052723172 |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 3233 | NM | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952949612 | Leslie Kelly | Nurse Practitioner | 6800 Day Dr, Norman, OK 73026-3203 | 2019-12-12 |
| 1881182566 | Leslie Ann Kelly | Licensed Vocational Nurse | 14700 Manzanita Park Rd, Beaumont, CA 92223 | 2018-04-27 |
| 1386037984 | Leslie Kelly | Nurse Practitioner | 2850 W 95th St, Evergreen Park, IL 60805-2735 | 2015-03-06 |
| 1225434814 | Leslie Ann Kelly | Speech-Language Pathologist | 11911 Us Highway 1 Ste 102, North Palm Beach, FL 33408-2872 | 2014-11-10 |
| 1073710406 | Leslie Suzanne Kelly | Physical Therapy Assistant | 200 Norfleet Dr, Somerset, KY 42501-1952 | 2007-06-29 |
| 1518001577 | Leslie Kelly | Registered Nurse | 333 Long Hill Rd, Groton, CT 06340-3823 | 2007-02-16 |
| 1205946266 | Leslie R Kelly | Registered Nurse | 30 Locust St, Northampton, MA 01060-2052 | 2006-08-30 |
| Street Address |
3RD AMBULATORY CARE CTR 2211 LOMAS BLVD. NE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87131-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144241381 | Tito Monge | Pediatrics | 3rd Ambulatory Care Ctr, 2211 Lomas Blvd. Ne, Albuquerque, NM 87131-0001 | 2006-07-22 |
| 1669489613 | Craig Wong | Pediatrics | 3rd Ambulatory Care Ctr, 2211 Lomas Blvd. Ne, Albuquerque, NM 87131-0001 | 2006-08-02 |
| 1063429017 | J. Waldman | Pediatrics | 3rd Ambulatory Care Ctr, 2211 Lomas Blvd. Ne, Albuquerque, NM 87131-0001 | 2006-08-02 |
| 1487661435 | Eileen Yager | Pediatrics | 3rd Ambulatory Care Ctr, 2211 Lomas Blvd. Ne, Albuquerque, NM 87131-0001 | 2006-08-02 |
| 1396752358 | Teal Peck | Pediatrics | 3rd Ambulatory Care Ctr, 2211 Lomas Blvd. Ne, Albuquerque, NM 87131-0001 | 2006-08-02 |
| 1144236845 | Teresa Anderson | Pediatrics | 3rd Ambulatory Care Ctr, 2211 Lomas Blvd. Ne, Albuquerque, NM 87131-0001 | 2006-08-01 |
| 1639185200 | Benjamin Hoffman | Pediatrics | 3rd Ambulatory Care Ctr, 2211 Lomas Blvd. Ne, Albuquerque, NM 87131-0001 | 2006-08-01 |
| 1548276116 | Keith Holtzclaw | Pediatrics | 3rd Ambulatory Care Ctr, 2211 Lomas Blvd. Ne, Albuquerque, NM 87131-0001 | 2006-08-01 |
| 1174539894 | Cindy Gyure | Pediatrics | 3rd Ambulatory Care Ctr, 2211 Lomas Blvd. Ne, Albuquerque, NM 87131-0001 | 2006-08-01 |
| 1457367047 | Susan Root | Pediatrics | 3rd Ambulatory Care Ctr, 2211 Lomas Blvd. Ne, Albuquerque, NM 87131-0001 | 2006-08-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780204404 | Samantha Cody Russell | Student in an Organized Health Care Education/Training Program | Unm Health Sciences Center Msc09-5030, Albuquerque, NM 87131 | 2020-04-22 |
| 1366061590 | Maria Paula Ramirez-cruz | Student in an Organized Health Care Education/Training Program | Unm School of Medicine Department of Obgyn, Msc 10 5580, 1 University of New Mexico, Albuquerque, NM 87131 | 2020-04-08 |
| 1457989527 | Kate Kollars | Student in an Organized Health Care Education/Training Program | Msc 095040, 1 University of New Mexico, Albuquerque, NM 87131 | 2020-04-01 |
| 1063046316 | Stephanie Annel Zarrasola | Student in an Organized Health Care Education/Training Program | Msc 09 5020, 1 University of New Mexico, Albuquerque, NM 87131 | 2020-02-25 |
| 1346703675 | Apoorva Cheeti | Student in an Organized Health Care Education/Training Program | 1 University of New Mexico, Msc10-5550, Albuquerque, NM 87131 | 2019-04-12 |
| 1194287649 | Jennifer Nicole Crawford | Psychologist | Msc09 5030 1 Unm, Albuquerque, NM 87131 | 2019-04-03 |
| 1437610672 | Julia Howard | Student in an Organized Health Care Education/Training Program | Msc10-5550, 1 University of New Mexico, Albuquerque, NM 87131 | 2019-03-29 |
| 1730640954 | Derek Scott Young Jr. | Student in an Organized Health Care Education/Training Program | Dept. of Internal Medicine Msc 10-5550, 1 University of New Mexico, Albuquerque, NM 87131 | 2019-03-29 |
| 1255891347 | Logan Van Essen | Student in an Organized Health Care Education/Training Program | Department of Internal Medicine Msc10-5550, 1 University of New Mexico, Albuquerque, NM 87131 | 2019-03-23 |
| 1932664976 | Akbar Oaris | Student in an Organized Health Care Education/Training Program | University of New Mexico - Department of Internal Medic, 1 University of New Mexico (msc 10-5550), Albuquerque, NM 87131 | 2019-02-04 |
| Find all providers in zip 87131 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487278982 | Edward L Lyell | Counselor | 7005 Prospect Pl Ne, Albuquerque, NM 87110-4311 | 2020-06-01 |
| 1215550199 | Sabrina Jennifer Lujan | Counselor | 8401 Constitution Ave Nw, Albuquerque, NM 87110 | 2020-05-26 |
| 1073172854 | Katherine Bassiri, LLC. | Counselor | 5300 Sequoia Rd Nw Ste 207, Albuquerque, NM 87120-1248 | 2019-06-06 |
| 1922576149 | Jacqueline Castille | Counselor | 4004 Carlisle Blvd Ne Ste C-3, Albuquerque, NM 87107-4565 | 2018-11-06 |
| 1043792997 | Elizabeth Bennett | Counselor | 309 59th St Nw, Albuquerque, NM 87105 | 2018-09-06 |
| 1801395389 | Emily J Cano | Counselor | 2601 Wyoming Blvd Ne Ste 101, Albuquerque, NM 87112-1000 | 2018-02-09 |
| 1124533153 | Joy E Davis | Counselor | 8403 Constitution Ave Ne # 87110, Albuquerque, NM 87110-7614 | 2017-12-13 |
| 1518485655 | Danielle Liegh Wyne | Counselor | 6121 Indian School Rd, Suite 141, Albuquerque, NM 87110 | 2017-09-08 |
| 1205369089 | Jonathan Juerling | Counselor | 5204 Vicksburg Dr Nw, Albuquerque, NM 87120-4501 | 2017-04-07 |
| 1467902098 | Jeffrey Holland | Counselor | 5421 Summer Ave Ne, Albuquerque, NM 87110-6435 | 2016-10-06 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87131 |
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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.