Leading Edge Transitions

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

LMFT49057 Issued in CA

Legal business name

LEADING EDGE TRANSITIONS

Practice address

155 Granada St
Suite a
Camarillo, CA 93010-7866

Phone

(805) 340-8055

NPI assigned

Oct 8, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Ted Wrablik, MFTNPI 1669761532

Title

Ceo

Phone

(805) 340-8055

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ted Wrablik, MFT CATC

  • Marriage & Family Therapist
  • Ventura, CA
  • NPI 1669761532
  NPD (past) Authorized official

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

{
    "created_epoch": "1412726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412726400000",
    "number": "1386047124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9050 FEATHER ST",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930043046",
            "telephone_number": "805-340-8055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 GRANADA ST",
            "address_2": "SUITE A",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930107866",
            "telephone_number": "805-340-8055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEADING EDGE TRANSITIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-08",
        "last_updated": "2014-10-08",
        "status": "A",
        "authorized_official_last_name": "WRABLIK",
        "authorized_official_first_name": "TED",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "805-340-8055",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "LMFT49057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MFT",
            "identifier": "LMFT49057",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Grant Lavigna, LMFT
• Liliana Yazmin Lazcano Frausto
• Diana Le
• Hailey Le
• Leading Edge Innovations
• Carlos Miguel Leal, PA-C
• Arious K. Lee
• Dexter Lee, DDS
• Karis Lee
• Kathleen C Lee, M.A., SLP

• Community/Behavioral Health Agency in Camarillo, CA
• Providers in Camarillo, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2014; 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.