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MR. LESLIE E GRANGE LPC
NPI 1295465839
Counselor in Evergreen Park, IL

Active since June 15, 2022
3317 W 95TH ST, EVERGREEN PARK, IL 60805(708) 381-1176 Get Directions Write a Review

NPPES record last updated: June 15, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Leslie E Grange Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. LESLIE E GRANGE LPC (NPI 1295465839) is an individual counselor in Evergreen Park, Illinois, licensed in Illinois (178.018066) and active in the NPI registry since June 2022. He maintains a secondary practice location in Blue Island.

NPPES Registry Identity

NPI1295465839
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameMR. LESLIE E GRANGECredential: LPC
Location Address3317 W 95TH STEvergreen Park, IL 60805-2243
Mailing Address3317 W 95th StEvergreen Park, IL 60805-2243 · (708) 381-1176
Phone(708) 381-1176
Sole ProprietorNo
Enumeration DateJune 15, 2022
NPPES CertifiedJune 15, 2022
✔ NPI 1295465839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in IL · 178.018066
Definition
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.
3317 W 95TH ST, Evergreen Park, IL 60805
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Secondary Practice Location 1

Location 113116 Western AveBlue Island, IL 60406-5041 · Phone (708) 381-1176

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. BRIAN LEE KELLEY LCPC
Counselor (Professional)
3317 W 95TH ST
EVERGREEN PARK, IL 60805
Cook County (708) 529-3011
MS. CHAUNTE WILDER
Counselor (Professional)
3317 W 95TH ST
EVERGREEN PARK, IL 60805
Cook County (708) 529-3011
MRS. VICTORIA LOUISE MCANDREW LPC
Counselor (Professional)
3317 W 95TH ST
EVERGREEN PARK, IL 60805
Cook County (708) 634-6734
MISS NAOMI MARIE LEDEZMA MA
Counselor (Mental Health)
3317 W 95TH ST
EVERGREEN PARK, IL 60805
Cook County (708) 529-3011
MATTHEW LIESER
Counselor (Professional)
3317 W 95TH ST, SUITE 101
EVERGREEN PARK, IL 60805
Cook County (708) 466-2075
MRS. MICHELLE MARIE KELLER
Counselor (Mental Health)
3317 W 95TH ST
EVERGREEN PARK, IL 60805
Cook County (708) 529-3011
MS. JANICE M FRUM LPC, NCC
Counselor (Professional)
3317 W 95TH ST
EVERGREEN PARK, IL 60805
Cook County (630) 715-7047
KATHY ABBOTT PSYD PC
Psychologist (Clinical)
3317 W 95TH ST, STE 205
EVERGREEN PARK, IL 60805
Cook County (773) 807-0936

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Leslie Grange's NPI number?

The NPI number for Leslie Grange is 1295465839. It was assigned to this individual provider in the NPPES registry on June 15, 2022.

Where is Leslie Grange located?

Leslie Grange practices at 3317 W 95th St, Evergreen Park, IL 60805. The listed phone number is (708) 381-1176.

What is Leslie Grange's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Leslie Grange was last updated on June 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.