Individual provider Active NPI

Leonard David Bearne, PSYD MFT

  • Mental Health Counselor
  • Los Angeles, CA
National Provider Identifier
1225763345
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
1416 Westwood Blvd Ste 202
Los Angeles, CA 90024-4954
Phone
(310) 289-4699
NPI assigned
Jul 21, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X CA Primary

Addresses

Primary practice location

1416 Westwood Blvd Ste 202
Los Angeles, CA 90024-4954

Mailing address

PO Box 24793
Los Angeles, CA 90024-0793
Phone (310) 289-4699

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

NPI Registry JSON

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

{
    "created_epoch": "1658361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1225763345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24793",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900240793",
            "telephone_number": "310-289-4699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1416 WESTWOOD BLVD STE 202",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900244954",
            "telephone_number": "310-289-4699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEARNE",
        "first_name": "LEONARD",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "PSYD MFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-21",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": null,
            "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 Jul 21, 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.

Verify at the official NPI Registry.