Active NPI
Levanta Counseling Servicess LLC
- Mental Illness Community Based Residential Treatment Facility
- Glendale, CA
National Provider Identifier
1376917146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- License
- 197608981
- Legal business name
- LEVANTA COUNSELING SERVICESS LLC
- Practice address
- 3013 Annita Dr
Glendale, CA 91206-1302 - Phone
- (818) 846-4469
- NPI assigned
- Nov 17, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Teodulo Bonzon, LCSW
- Title
- Manager
- Phone
- (818) 846-4469
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | 197608981 | CA | Primary |
Addresses
Primary practice location
3013 Annita Dr
Glendale, CA 91206-1302
Mailing address
3013 Annita Dr
Glendale, CA 91206-1302
Phone (818) 846-4469
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Glendale, CA
- NPI 1497039192
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447718400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1447718400000",
"number": "1376917146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3013 ANNITA DR",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912061302",
"telephone_number": "818-846-4469"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3013 ANNITA DR",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912061302",
"telephone_number": "818-846-4469"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEVANTA COUNSELING SERVICESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-11-17",
"last_updated": "2015-11-17",
"status": "A",
"authorized_official_last_name": "BONZON",
"authorized_official_first_name": "TEODULO",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "818-846-4469",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": "CA",
"license": "197608981",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.