Individual provider Active NPI

Danielle Leibovici, LMFT

  • Marriage & Family Therapist
  • Norfolk, VA
National Provider Identifier
1235399833
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
0717001157 Issued in VA
Practice address
222 W 19TH St
Norfolk, VA 23517-2218
Phone
(757) 622-7017
NPI assigned
Jun 17, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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 0717001157 VA Primary

Addresses

Primary practice location

222 W 19TH St
Norfolk, VA 23517-2218

Mailing address

421 Van Wyck Mews
Norfolk, VA 23517-2129
Phone (757) 333-7736

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

LicenseStateTypeSpecialty
0717001157VAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Child & Family Services of Eastern Virginia, Inc PastSince Apr 4, 2010 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.

NPI Registry JSON

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

{
    "created_epoch": "1213660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213660800000",
    "number": "1235399833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 VAN WYCK MEWS",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235172129",
            "telephone_number": "757-333-7736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 W 19TH ST",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235172218",
            "telephone_number": "757-622-7017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEIBOVICI",
        "first_name": "DANIELLE",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-17",
        "last_updated": "2008-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "VA",
            "license": "0717001157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.