Individual provider Active NPI

Leila Carol Sachtschale, LCSW

  • Mental Health Counselor
  • Newport Beach, CA
National Provider Identifier
1043226418
Registry record updated Apr 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LCS19282 Issued in CA
Practice address
1151 Dove St
Ste 100
Newport Beach, CA 92660-2805
Phone
(949) 223-0105
NPI assigned
Jul 31, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LCS19282 CA Primary

Addresses

Primary practice location

1151 Dove St
Ste 100
Newport Beach, CA 92660-2805

Mailing address

1151 Dove St
Ste 100
Newport Beach, CA 92660-2805
Phone (949) 223-0105

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091006000590 CA Practitioner - Clinical Social Worker 6709922669 Practice locations: Newport Beach, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1151 Dove St
Suite 100
Newport Beach, CA 92660-2805
Phone (949) 223-0105

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS19282CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Socal Nutrition & Wellness Inc PastSince Jan 19, 2025 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492041600000",
    "number": "1043226418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1151 DOVE ST",
            "address_2": "STE 100",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602805",
            "telephone_number": "949-223-0105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 DOVE ST",
            "address_2": "STE 100",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602805",
            "telephone_number": "949-223-0105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SACHTSCHALE",
        "first_name": "LEILA",
        "middle_name": "CAROL",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2017-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "LCS19282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.