Active NPI
Lenna K Lebovich, MA
- Marriage & Family Therapist
- Los Angeles, CA
National Provider Identifier
1518159243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 49650
- Practice address
- 12012 Wilshire Blvd Ste 200
Los Angeles, CA 90025-1203 - Phone
- (310) 205-2646
- NPI assigned
- Aug 16, 2007
- Last updated
- Jan 12, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 49650 | CA | Primary |
| Mental Health Counselor | 101YM0800X | 1658 | CA |
Addresses
Primary practice location
12012 Wilshire Blvd Ste 200
Los Angeles, CA 90025-1203
Mailing address
12012 Wilshire Blvd Ste 200
Los Angeles, CA 90025-1203
Phone (310) 205-2646
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 49650 | CA | MD | Marriage & Family Therapist |
| 1658 | CA | MD | Kinesiotherapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705017600000",
"number": "1518159243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12012 WILSHIRE BLVD STE 200",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900251203",
"telephone_number": "310-205-2646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12012 WILSHIRE BLVD STE 200",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900251203",
"telephone_number": "310-205-2646"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEBOVICH",
"first_name": "LENNA",
"middle_name": "K",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-16",
"last_updated": "2024-01-12",
"certification_date": "2023-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "49650",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "1658",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.