Individual provider Active NPI

Jill Leos, MS, LMFT

  • Marriage & Family Therapist
  • Commerce, CA
National Provider Identifier
1508342338
Registry record updated Nov 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
102268 Issued in CA
Practice address
5400 E Olympic Blvd
Commerce, CA 90022
Phone
(323) 543-2800
NPI assigned
Jul 15, 2018
Last updated
Nov 16, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2018

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 102268 CA Primary

Addresses

Primary practice location

5400 E Olympic Blvd
Commerce, CA 90022

Mailing address

815 Colorado Blvd Ste 300
Los Angeles, CA 90041-1744
Phone (323) 543-2800

Other practice location 1

17111 Beach Blvd Ste 205
Huntington Beach, CA 92647-5947
Phone (714) 654-1570

Other practice location 2

17111 Beach Blvd Ste 205
Huntington Beach, CA 92647-5947
Phone (714) 654-1570

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
102268CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Associates of the Southland Inc PastSince Aug 19, 2019 Accepting new patients
Joe F. Chiu, MD, a Professional Corp PastSince Dec 26, 2021 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1531612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542326400000",
    "number": "1508342338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 COLORADO BLVD STE 300",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900411744",
            "telephone_number": "323-543-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 E OLYMPIC BLVD",
            "city": "COMMERCE",
            "state": "CA",
            "postal_code": "90022",
            "telephone_number": "323-543-2800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17111 Beach Blvd Ste 205",
            "address_purpose": "LOCATION",
            "city": "Huntington Beach",
            "state": "CA",
            "postal_code": "926475947",
            "country_code": "US",
            "telephone_number": "714-654-1570",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17111 Beach Blvd Ste 205",
            "address_purpose": "LOCATION",
            "city": "Huntington Beach",
            "state": "CA",
            "postal_code": "926475947",
            "country_code": "US",
            "telephone_number": "714-654-1570",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEOS",
        "first_name": "JILL",
        "name_prefix": "Mrs.",
        "credential": "MS, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-15",
        "last_updated": "2018-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "102268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Commerce, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2018; 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.