Active NPI
Louis Lee
- Mental Health Counselor
- Long Beach, CA
National Provider Identifier
1114498409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 131322
- Practice address
- 4001 Long Beach Blvd
Long Beach, CA 90807-2616 - Phone
- (562) 427-7671
- NPI assigned
- Dec 11, 2018
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Mental Health Counselor | 101YM0800X | 131322 | CA | Primary |
Addresses
Primary practice location
4001 Long Beach Blvd
Long Beach, CA 90807-2616
Mailing address
4422 Via Majorca
Cypress, CA 90630-3462
Phone (714) 510-6307
Other practice location 1
12432 Bellflower Blvd
Downey, CA 90242-2806
Phone (818) 241-6780
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 |
|---|---|---|---|
| 131322 | CA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| For the Child, Inc. | Past | 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.
-
- Voluntary or Charitable Agency
- Long Beach, CA
- NPI 1144354275
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1544486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654473600000",
"number": "1114498409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4422 VIA MAJORCA",
"city": "CYPRESS",
"state": "CA",
"postal_code": "906303462",
"telephone_number": "714-510-6307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4001 LONG BEACH BLVD",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908072616",
"telephone_number": "562-427-7671"
}
],
"practiceLocations": [
{
"address_1": "12432 Bellflower Blvd",
"address_purpose": "LOCATION",
"city": "Downey",
"state": "CA",
"postal_code": "902422806",
"country_code": "US",
"telephone_number": "818-241-6780",
"fax_number": "818-241-6853",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEE",
"first_name": "LOUIS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-12-11",
"last_updated": "2022-06-06",
"certification_date": "2022-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "131322",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.