Individual provider Active NPI

Letjan Lecarnaque

  • Marriage & Family Therapist
  • Santa Ana, CA
National Provider Identifier
1619695889
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
158964 Issued in CA
Practice address
600 West Santa Ana Blvd., Ste 600
Santa Ana, CA 92701-5017
Phone
(714) 871-9264
Fax
(714) 871-5032
NPI assigned
Aug 15, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2025

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 158964 CA Primary

Addresses

Primary practice location

600 West Santa Ana Blvd., Ste 600
Santa Ana, CA 92701-5017

Mailing address

6475 E Pacific Coast Hwy Ste 285
Long Beach, CA 90803-4201

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260119000271 CA Practitioner - Marriage and Family Therapist 3072090349 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2575 Navarra Dr
Unit C
Carlsbad, CA 92009-7082

2575 Navarra Dr Unit C
Carlsbad, CA 92009-7082

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
158964CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Child Guidance Center, Inc. CurrentSince Aug 25, 2024 Accepting new patients
Sabi Pathways Family Therapy Inc. Marriage & Family Therapist CurrentSince Jan 8, 2026 Accepting new patients

Locations

301 N Palm Canyon Dr
Ste 103
Palm Springs, CA 92262
Phone (323) 640-2287

333 N Palm Canyon Dr
Ste 215
Palm Springs, CA 92262
Phone (442) 274-0149

525 Cabrillo Park Dr
Ste 300
Santa Ana, CA 92701
Phone (714) 871-9264

600 W Santa Ana Blvd
Ste 600
Santa Ana, CA 92701
Phone (714) 871-9264

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1660521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765324800000",
    "number": "1619695889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6475 E PACIFIC COAST HWY STE 285",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908034201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 WEST SANTA ANA BLVD., STE 600",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927015017",
            "telephone_number": "714-871-9264",
            "fax_number": "714-871-5032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LECARNAQUE",
        "first_name": "LETJAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-15",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "158964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

Verify at the official NPI Registry.