Leaps & Bounds Family Counseling Center, Inc

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC36831 Issued in CA

Legal business name

LEAPS & BOUNDS FAMILY COUNSELING CENTER, INC

Practice address

15235 Burbank Blvd
Suite A3
Van Nuys, CA 91411-3500

Phone

(818) 486-3152

Fax

(818) 784-4980

NPI assigned

Mar 12, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Renee Arla Lestrange, MFT

Title

Clinical Director/President

Phone

(818) 486-3152

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1236816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236816000000",
    "number": "1639310154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15235 BURBANK BLVD",
            "address_2": "SUITE A3",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914113500",
            "telephone_number": "818-486-3152",
            "fax_number": "818-784-4980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15235 BURBANK BLVD",
            "address_2": "SUITE A3",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914113500",
            "telephone_number": "818-486-3152",
            "fax_number": "818-784-4980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEAPS & BOUNDS FAMILY COUNSELING CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-12",
        "last_updated": "2009-03-12",
        "status": "A",
        "authorized_official_last_name": "LESTRANGE",
        "authorized_official_first_name": "RENEE",
        "authorized_official_middle_name": "ARLA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR/PRESIDENT",
        "authorized_official_telephone_number": "818-486-3152",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC36831",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER- INDIVIDUAL PROVIDER",
            "identifier": "1841361961",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in Van Nuys, CA
• Providers in Van Nuys, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2009; 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.