Active NPI
Leigh Ann Marie Greenfield, MFTI
- Mental Health Counselor
- Lake View Terrace, CA
National Provider Identifier
1003334186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 100551
- Practice address
- 11600 Eldridge Ave
Lake View Terrace, CA 91342-6506 - Phone
- (818) 686-3000
- NPI assigned
- Sep 8, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 100551 | CA | Primary |
Addresses
Primary practice location
11600 Eldridge Ave
Lake View Terrace, CA 91342-6506
Mailing address
11600 Eldridge Avenue
Phoenix House Outpatient Mental Health Program
Lake View Terrace, CA 91342
Phone (818) 686-3000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100551 | Other | CA | BOARD OF BEHAVIORAL SCIENCES - INTERN MARRIAGE AND FAMILY THERAPIST NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 100551 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1003334186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11600 ELDRIDGE AVENUE",
"address_2": "PHOENIX HOUSE OUTPATIENT MENTAL HEALTH PROGRAM",
"city": "LAKE VIEW TERRACE",
"state": "CA",
"postal_code": "91342",
"telephone_number": "818-686-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11600 ELDRIDGE AVE",
"city": "LAKE VIEW TERRACE",
"state": "CA",
"postal_code": "913426506",
"telephone_number": "818-686-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENFIELD",
"first_name": "LEIGH ANN",
"middle_name": "MARIE",
"credential": "MFTI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-09-08",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "100551",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF BEHAVIORAL SCIENCES - INTERN MARRIAGE AND FAMILY THERAPIST NUMBER",
"identifier": "100551",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lake View Terrace, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.