LESLIE INGRID RHEAULT MA LPC NPI 1093014391

NPI Information

  • NPI: 1093014391
  • Provider Name: LESLIE INGRID RHEAULT, MA, LPC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 2191 CANAL ST
    MEDFORD, OR
    ZIP 97501
  • Phone: (541) 499-1088

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NPI Details

Leslie Ingrid Rheault, MA, LPC is a mental health counselor in Medford, OR. Leslie Ingrid Rheault, MA, LPC NPI is 1093014391. 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:

2191 CANAL ST
MEDFORD, OR
ZIP 97501-338
Phone: (541) 499-1088

The enumeration date for this NPI number is 3/25/2011 and was last updated on 3/13/2023.

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
1101YP2500XCounselorProfessionalC1655OREGONNo
2101YM0800XCounselorMental Health4608066OREGONYes

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: 11/21/2025

NPI Synchronization or Removal

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