Individual provider Active NPI

Lea W Engle, LMFT

  • Marriage & Family Therapist
  • Sherman Oaks, CA
National Provider Identifier
1750401980
Registry record updated Sep 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC24411 Issued in CA
Practice address
13400 Riverside Dr
318
Sherman Oaks, CA 91423-2500
Phone
(818) 981-8639
Fax
(818) 788-9541
NPI assigned
Mar 30, 2007
Last updated
Sep 4, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 01529 NV
Marriage & Family Therapist 106H00000X MFC24411 CA Primary

Addresses

Primary practice location

13400 Riverside Dr
318
Sherman Oaks, CA 91423-2500

Mailing address

13400 Riverside Dr
318
Sherman Oaks, CA 91423-2500
Phone (818) 981-8639

Other practice location 1

10120 S Eastern Ave Ste 209
Henderson, NV 89052-3951
Phone (702) 741-0571

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240220001249 CA Practitioner - Marriage and Family Therapist 8224472154 Practice locations: Sherman Oaks, CA
I20260302001567 NV Practitioner - Marriage and Family Therapist 8224472154 Practice locations: Henderson, NV

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

10120 S Eastern Ave
Suite 209
Henderson, NV 89052-3926
Phone (702) 741-0571

2808 Proust CT
Henderson, NV 89044-0321

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MFC24411CAMDMarriage & Family Therapist
01529NVMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tabitha Johnson MFT, PLLC Current Accepting new patients
Huangfu Psychological Services PC PastSince Jul 10, 2024 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": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599177600000",
    "number": "1750401980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13400 RIVERSIDE DR",
            "address_2": "318",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914232500",
            "telephone_number": "818-981-8639",
            "fax_number": "818-788-9541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13400 RIVERSIDE DR",
            "address_2": "318",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914232500",
            "telephone_number": "818-981-8639",
            "fax_number": "818-788-9541"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10120 S Eastern Ave Ste 209",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890523951",
            "country_code": "US",
            "telephone_number": "702-741-0571",
            "fax_number": "702-741-0571",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ENGLE",
        "first_name": "LEA",
        "middle_name": "W",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-30",
        "last_updated": "2020-09-04",
        "certification_date": "2020-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": "01529",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC24411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman Oaks, CA

Sources for this page

Verify at the official NPI Registry.