Active NPI
Zen Jordan Lewis, PHD, LMHC, LPCC
- Mental Health Counselor
- Burbank, CA
National Provider Identifier
1003904038
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH-9760
- Practice address
- 213 W Alameda Ave Ste 103
Burbank, CA 91502-3027 - Phone
- (833) 333-7936
- Fax
- (561) 620-2972
- NPI assigned
- Oct 11, 2006
- Sex
- Male
- 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 | MH-9760 | FL | Primary |
Addresses
Primary practice location
213 W Alameda Ave Ste 103
Burbank, CA 91502-3027
Mailing address
398 Camino Gardens Blvd
Suite 100
Boca Raton, FL 33432-5827
Phone (954) 399-2093
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH-9760 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551916800000",
"number": "1003904038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "398 CAMINO GARDENS BLVD",
"address_2": "SUITE 100",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334325827",
"telephone_number": "954-399-2093",
"fax_number": "561-620-2972"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "213 W ALAMEDA AVE STE 103",
"city": "BURBANK",
"state": "CA",
"postal_code": "915023027",
"telephone_number": "833-333-7936",
"fax_number": "561-620-2972"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "ZEN",
"middle_name": "JORDAN",
"name_prefix": "Dr.",
"credential": "PHD, LMHC, LPCC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-11",
"last_updated": "2019-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH-9760",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burbank, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.