LESLIE D. MAVROMATIS LICSW
NPI 1922546175
Counselor - Mental Health in Bridgeport, WV
About Leslie D. Mavromatis Licsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LESLIE D. MAVROMATIS LICSW (NPI 1922546175) is an individual mental health provider in Bridgeport, West Virginia, licensed in West Virginia (DP00944782) and active in the NPI registry since February 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2000).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Leslie D. Mavromatis Licsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Leslie Mavromatis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Bridgeport, WV 26330
- Reassigned Medicare billing, West Virginia enrollment
- 5 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
BRIDGEPORT, WV 26330
BRIDGEPORT, WV 26330
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 Mavromatis's NPI number?
The NPI number for Leslie Mavromatis is 1922546175. It was assigned to this individual provider in the NPPES registry on February 8, 2017.
Where is Leslie Mavromatis located?
Leslie Mavromatis practices at 527 Medical Park Dr, Bridgeport, WV 26330. The listed phone number is (304) 933-3885.
What is Leslie Mavromatis's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Leslie Mavromatis enrolled in Medicare?
Yes. Leslie Mavromatis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Leslie Mavromatis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Leslie Mavromatis reassigns Medicare benefits to Bridgeport Behavioral Clinic (Bridgeport, WV). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Leslie Mavromatis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Leslie Mavromatis was last updated on February 8, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Leslie D. Mavromatis, LICSW · NPI 1922546175
Mental Health provider in Bridgeport, West Virginia. Individual provider, active in the CMS NPPES registry since February 8, 2017.
## Identity
- **NPI:** 1922546175 (Entity type: Individual)
- **Enumerated:** February 8, 2017
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** DP00944782 (West Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 527 MEDICAL PARK DR, Bridgeport, WV 26330-9008
- **Phone:** (304) 933-3885 · **Fax:** (304) 933-3887
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Bridgeport Behavioral Clinic (NPI 1538388939, Bridgeport, WV), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2000
## Record status
- **NPPES last updated:** February 8, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1922546175) · Data from the CMS NPPES public registry.