Individual provider Active NPI

Belinda Lee

  • Marriage & Family Therapist
  • San Diego, CA
National Provider Identifier
1508384041
Registry record updated Dec 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
121127 Issued in CA
Practice address
12625 High Bluff Dr Ste 220
San Diego, CA 92130-2054
Phone
(858) 376-7285
NPI assigned
Sep 5, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2023

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 121127 CA Primary

Addresses

Primary practice location

12625 High Bluff Dr Ste 220
San Diego, CA 92130-2054

Mailing address

PO Box 2851
Del Mar, CA 92014-5851
Phone (858) 376-7285

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
121127CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Brave Heart Child & Family Counseling Inc CurrentSince Dec 24, 2023 Accepting new patients
Community Research Foundation Inc Past Accepting new patients
Community Research Foundation Past Accepting new patients

Locations

12625 High Bluff Dr
Ste 220
San Diego, CA 92130
Phone (808) 336-7306

Organizations & group practices 3

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": "1504569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702944000000",
    "number": "1508384041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2851",
            "city": "DEL MAR",
            "state": "CA",
            "postal_code": "920145851",
            "telephone_number": "858-376-7285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12625 HIGH BLUFF DR STE 220",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921302054",
            "telephone_number": "858-376-7285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "BELINDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-05",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "121127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.