Individual provider Active NPI

Marlene White Lenard, LMFT

  • Marriage & Family Therapist
  • Los Angeles, CA
National Provider Identifier
1174084560
Registry record updated Mar 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC51558 Issued in CA
Practice address
864 S Robertson Blvd Ste 103
Los Angeles, CA 90035-1622
Phone
(310) 749-2585
NPI assigned
Mar 27, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC51558 CA Primary

Addresses

Primary practice location

864 S Robertson Blvd Ste 103
Los Angeles, CA 90035-1622

Mailing address

438 Arnaz Dr Apt 102
Los Angeles, CA 90048-6710
Phone (310) 276-5535

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Apr 26, 2024 through Apr 26, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MFC51558CAMDMarriage & Family Therapist
51558CAMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1553644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553644800000",
    "number": "1174084560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "438 ARNAZ DR APT 102",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900486710",
            "telephone_number": "310-276-5535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "864 S ROBERTSON BLVD STE 103",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900351622",
            "telephone_number": "310-749-2585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENARD",
        "first_name": "MARLENE",
        "middle_name": "WHITE",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-27",
        "last_updated": "2019-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC51558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.