Licasa Inc

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

LICASA INC

Practice address

7041 Reseda Blvd
Reseda, CA 91335-4209

Phone

(818) 210-6612

NPI assigned

Dec 1, 2020

Organization subpart

No

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

Authorized official

Name

Lilit Muradyan

Title

Ceo

Phone

(818) 210-6612

Specialties & licenses 3

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Licasa2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Licasa Inc

  • Adult Mental Health Clinic/Center
  • Conroe, TX
  • NPI 1437096344
  NPD tax ID

Locations

Practitioners 2

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

• Lisa Ann Lerma

  • Counselor
  • Camarillo, CA
  • NPI 1831215029
  NPD
• Beverly J Barclay, PH.D.

  • Psychologist
  • Henderson, NV
  • NPI 1720191851
  NPD (past)

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

{
    "created_epoch": "1606780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606780800000",
    "number": "1871198556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7041 RESEDA BLVD",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913354209",
            "telephone_number": "818-210-6612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7041 RESEDA BLVD",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913354209",
            "telephone_number": "818-210-6612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LICASA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-01",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A",
        "authorized_official_last_name": "MURADYAN",
        "authorized_official_first_name": "LILIT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-210-6612"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leo'S Assisted Living II
• Michael Lerner
• Julia Ane Letts, MA, OTR
• Jaime Levy Rothstein, MASSAGE THERAPIST
• Cheng Si Li Sr., L.AC
• Lifeline Home Health
• Lifeline Treatment Center, Inc.
• Lifeway Hospice Inc.
• Lifewell Home Health
• Renato Jose Linares

• Adult Mental Health Clinic/Center in Reseda, CA
• Providers in Reseda, CA by specialty
• Adult Mental Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.