Active NPI
Josephine Lee
- Marriage & Family Therapist
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT106659
- Practice address
- 2999 Overland Ave Ste 209
Los Angeles, CA 90064-4243 - Phone
- (310) 893-6979
- NPI assigned
- Sep 20, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LMFT106659 | CA | Primary |
Addresses
Primary practice location
2999 Overland Ave Ste 209
Los Angeles, CA 90064-4243
Mailing address
3016 E Colorado Blvd # 70312
Pasadena, CA 91107-3840
Other practice location 1
2716 Ocean Park Blvd Ste 3020
Santa Monica, CA 90405-5225
Phone (310) 829-9161
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, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2999 Overland Ave
Suite 209
Los Angeles, CA 90064-4243
Phone (310) 957-5641
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMFT106659 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Soultenders Psychological Services, Inc. | Current | Accepting new patients | |
| Soultenders, Inc. | Mental Health | Current | Accepting new patients |
| Ede Ca at Santa Monica, LP | Past | Accepting new patients |
Locations
41 E Foothill Blvd
Ste 102
Arcadia, CA 91006
Phone (626) 701-4249
2999 Overland Ave
Ste 209
Los Angeles, CA 90064
Phone (310) 893-6979
Organizations & group practices 3
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.
-
- Clinical Social Worker
- Arcadia, CA
- NPI 1235810722
-
dba A New Journey Eating Disorder Center
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Santa Monica, CA
- NPI 1033262811
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624060800000",
"number": "1225689276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3016 E COLORADO BLVD # 70312",
"city": "PASADENA",
"state": "CA",
"postal_code": "911073840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2999 OVERLAND AVE STE 209",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900644243",
"telephone_number": "310-893-6979"
}
],
"practiceLocations": [
{
"address_1": "2716 Ocean Park Blvd Ste 3020",
"address_purpose": "LOCATION",
"city": "Santa Monica",
"state": "CA",
"postal_code": "904055225",
"country_code": "US",
"telephone_number": "310-829-9161",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEE",
"first_name": "JOSEPHINE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-09-20",
"last_updated": "2021-06-19",
"certification_date": "2021-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "LMFT106659",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2021; 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.