Active NPI
Brighten Lebeau, MA, AMFT
- Community/Behavioral Health Agency
- Encino, CA
National Provider Identifier
1760224596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 138576
- Practice address
- 16530 Ventura Blvd Ste 400
Encino, CA 91436-4551 - Phone
- (619) 800-5142
- NPI assigned
- Jun 11, 2024
- Sex
- Unspecified or another gender identity
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 138576 | CA | Primary |
Addresses
Primary practice location
16530 Ventura Blvd Ste 400
Encino, CA 91436-4551
Mailing address
16530 Ventura Blvd Ste 400
Encino, CA 91436-4551
Phone (619) 800-5142
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 138576 | CA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718064000000",
"number": "1760224596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16530 VENTURA BLVD STE 400",
"city": "ENCINO",
"state": "CA",
"postal_code": "914364551",
"telephone_number": "619-800-5142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16530 VENTURA BLVD STE 400",
"city": "ENCINO",
"state": "CA",
"postal_code": "914364551",
"telephone_number": "619-800-5142"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEBEAU",
"first_name": "BRIGHTEN",
"credential": "MA, AMFT",
"sole_proprietor": "YES",
"sex": "X",
"enumeration_date": "2024-06-11",
"last_updated": "2024-06-11",
"certification_date": "2024-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "CA",
"license": "138576",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Encino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.