Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1033756663 Individual Practitioner Female Practitioner

Leslie Emely Cornejo , PEER SPECIALIST

Peer Specialist • Spokane, WA

Professional Overview & Biography Verified Profile Summary

Leslie Cornejo, PEER SPECIALIST is a registered healthcare professional specializing in Peer Specialist in Spokane, WA. Practice services are available at 3754 W INDIAN TRAIL RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3754 W Indian Trail Rd

Spokane, WA 992084736

Telephone 5095593100
Associated Practice Facility / Clinic
🏢 Excelsior Wellness Facility NPI 1326267055

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Spokane, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
335 Specialists

Practicing in Spokane, WA (2660 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-07-05
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

State License WA CG1031066

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003409517
NPI 1003480021
NPI 1013507409
NPI 1013668110
NPI 1013675784

BEHAVIORSUPPORT

NPI 1013684232

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location July 05, 2023

Registered at 3754 W INDIAN TRAIL RD, SPOKANE, WA 992084736 (Tel: 5095593100)

📍
Updated Business Mailing Address July 05, 2023

Registered at 3754 W INDIAN TRAIL RD, SPOKANE, WA 992084736 (Tel: 5095593100)

👤
Provider Name / Credentials Updated July 05, 2023

Recorded as LESLIE CORNEJO, PEER SPECIALIST

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 05, 2023

Peer Specialist (License #CG1031066 in WA)

NPI Profile Active December 02, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location December 02, 2019

Registered at 340 NE MAPLE ST, PULLMAN, WA 991634120 (Tel: 5093341133)

📍
Updated Business Mailing Address December 02, 2019

Registered at 340 NE MAPLE ST, PULLMAN, WA 991634120 (Tel: 5093341133)

👤
Provider Name / Credentials Updated December 02, 2019

Recorded as LESLIE CORNEJO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 02, 2019

Behavior Analyst

🟢
Initial NPI Registration & Enumeration December 02, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1033756663
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 02, 2019
Last Update: July 05, 2023
Sole Proprietor: No

Mailing Address

3754 W Indian Trail Rd

Spokane, WA 992084736

Phone: 5095593100

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.