Leslie Jane Guinaugh Supkoff, MFT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MFC 30843

Practice address

554 S San Vicente Blvd Ste 102
Los Angeles, CA 90048-4652

Phone

(310) 663-4244

NPI assigned

Feb 12, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Leslie Jane Guinaugh Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1202774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202774400000",
    "number": "1124296280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 N SWALL DR",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902111712",
            "telephone_number": "310-271-7764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "554 S SAN VICENTE BLVD STE 102",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900484652",
            "telephone_number": "310-663-4244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUINAUGH SUPKOFF",
        "first_name": "LESLIE",
        "middle_name": "JANE",
        "name_prefix": "Ms.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-12",
        "last_updated": "2008-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": "MFC 30843",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "MFC 30843",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LESLIE",
            "last_name": "GUINAUGH",
            "middle_name": "JANE",
            "prefix": "MS.",
            "credential": "MFT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Garland Guillory, PHD, MA, MFT, CADC
• Scott Christopher Guillory, LPT
• Arthur Camille Guillosson
• Alessandro Guimaraes, ACSW
• Moises Guimet, DPM
• Madelyn Guinn
• Margaret Guinnip, RDN
• Susan Guinto, LPT
• Rosemary Guipoco
• Gassia Guiragossian, LCSW

• Mental Health Counselor in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2008; 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.