Active NPI
Daniel Leone, LMFT
- Mental Health Counselor
- Tustin, CA
National Provider Identifier
1073083820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 139091
- Practice address
- 13841 Tustin East Dr
Tustin, CA 92780-5328 - Phone
- (714) 656-4695
- NPI assigned
- Dec 4, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Mental Health Counselor | 101YM0800X | 139091 | CA | Primary |
Addresses
Primary practice location
13841 Tustin East Dr
Tustin, CA 92780-5328
Mailing address
13841 Tustin East Dr Apt 16
Tustin, CA 92780-5367
Phone (949) 910-2089
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 19283701 | Medicaid | CA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 2018
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1041 E Yorba Linda Blvd
Suite 202
Placentia, CA 92870-3760
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 139091 | CA | MD | Mental Health Counselor |
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.
-
- Community/Behavioral Health Agency
- Placentia, CA
- NPI 1093398059
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719792000000",
"number": "1073083820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13841 TUSTIN EAST DR APT 16",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927805367",
"telephone_number": "949-910-2089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13841 TUSTIN EAST DR",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927805328",
"telephone_number": "714-656-4695"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEONE",
"first_name": "DANIEL",
"name_prefix": "Mr.",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-12-04",
"last_updated": "2024-07-01",
"certification_date": "2024-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "139091",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "19283701",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tustin, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.