LESLIE CARROLL OUSLEY MA LPC NPI 1609215821

NPI Information

NPI: 1609215821
Provider Name: LESLIE CARROLL OUSLEY, MA, LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
217 NORTH MADISON STREET
SUITE 4
GREEN BAY, WI
ZIP 54301
Phone: (920) 227-7078
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Leslie Carroll Ousley, MA, LPC is a professional counselor in Green Bay, WI. Leslie Carroll Ousley, MA, LPC NPI is 1609215821. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

217 NORTH MADISON STREET
SUITE 4
GREEN BAY, WI
ZIP 54301-012
Phone: (920) 227-7078
Fax: (920) 273-8847

The enumeration date for this NPI number is 6/20/2013 and was last updated on 4/22/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	5428-125	WISCONSIN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	47-1086793	MEDICAID	WISCONSIN
2	100037704	MEDICAID	WISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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