Delisa Lee Levine

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

116175 Issued in CA

Practice address

3655 Alamo St Ste 300
Simi Valley, CA 93063-2187

Phone

(818) 428-5718

NPI assigned

Mar 11, 2014

Last updated

Apr 27, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Mrs. Delisa Lee Eberwein Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• San Fernando Valley Community Mental Health Center

  • Psychiatry Physician
  • Van Nuys, CA
  • NPI 1164427316
  NPD (past)
• San Fernando Valley Community Mental Health Center, Inc.

  dba SFV East Valley CMHC-McDonald Carey

  • Psychiatry Physician
  • North Hollywood, CA
  • NPI 1912037060
  NPD (past)
• Family Ties Counseling Center

  • Mental Health Counselor
  • Portland, OR
  • NPI 1346667565
  NPD (past)

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

{
    "created_epoch": "1394496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587945600000",
    "number": "1083030324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11363 DULCET AVE",
            "city": "PORTER RANCH",
            "state": "CA",
            "postal_code": "913262156",
            "telephone_number": "818-428-5718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3655 ALAMO ST STE 300",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930632187",
            "telephone_number": "818-428-5718"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11363 Dulcet Ave",
            "address_purpose": "LOCATION",
            "city": "Porter Ranch",
            "state": "CA",
            "postal_code": "913262156",
            "country_code": "US",
            "telephone_number": "818-428-5718",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEVINE",
        "first_name": "DELISA",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-11",
        "last_updated": "2020-04-27",
        "certification_date": "2020-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "116175",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "95-2633765",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DELISA",
            "last_name": "EBERWEIN",
            "middle_name": "LEE",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Adrienne Lenhart
• Kevin Kyle Lentini
• Alicia Lerma
• Melinda Lesley
• Leung, Marsden, and Wald, a Professional Optometric Corporation (Diamond Eye Optometry)
• Eric Scott Levine, M.D., PH.D.
• Paula Levy, D.D.S.
• Nicole Leznik
• Catherine Li
• Janet T Li, D.O.

• Marriage & Family Therapist in Simi Valley, CA
• Providers in Simi Valley, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.