Liberty Behavioral & Community Services, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

LIBERTY BEHAVIORAL & COMMUNITY SERVICES, INC.

Practice address

5601 W Slauson Ave Ste 130
Culver City, CA 90230-6576

Phone

(310) 345-6651

NPI assigned

Dec 8, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Ladale JacksonNPI 1265143507

Title

Ceo

Phone

(310) 910-0406

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ladale Jackson Sr.

  • Homeopath
  • Culver City, CA
  • NPI 1265143507
  NPD Authorized official
• Adetokunboh Adegbite

  • Behavior Technician
  • Culver City, CA
  • NPI 1164341616
  NPD (past)

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

{
    "created_epoch": "1670457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721347200000",
    "number": "1851002042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5601 W SLAUSON AVE STE 130",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902306576",
            "telephone_number": "310-345-6651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 W SLAUSON AVE STE 130",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902306576",
            "telephone_number": "310-345-6651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY BEHAVIORAL & COMMUNITY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-08",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "LADALE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-910-0406",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ladale.j@lbcsi.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5601 W Slauson Ave Ste 130",
            "city": "Culver City",
            "state": "CA",
            "country_code": "US",
            "postal_code": "902306576",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kelsey E Lewis
• Kyle Lewis
• Margaret M Lewis
• Samantha Lin Lewis, MA, LPCC
• Taklai Li
• Lawrence E Libuser, DDS
• Amnon Licht, M.D
• Lori Lichterman, RD
• Diego John Paul Lidzbarski
• Chloe Liebengood, M.A.

• Community/Behavioral Health Agency in Culver City, CA
• Providers in Culver City, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.

Verify at the official NPI Registry.