Active NPI
Susan Kay Leo, MFT
- Marriage & Family Therapist
- Burbank, CA
National Provider Identifier
1891826640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC 30743
- Practice address
- 601 S Glenoaks Blvd Ste 200
Burbank, CA 91502-2787 - Phone
- (818) 441-7800
- NPI assigned
- Mar 7, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFC 30743 | CA | Primary |
Addresses
Primary practice location
601 S Glenoaks Blvd Ste 200
Burbank, CA 91502-2787
Mailing address
28100 Alaminos Dr
Saugus, CA 91350-1811
Phone (661) 297-2634
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC 30743 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372291200000",
"number": "1891826640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28100 ALAMINOS DR",
"city": "SAUGUS",
"state": "CA",
"postal_code": "913501811",
"telephone_number": "661-297-2634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 S GLENOAKS BLVD STE 200",
"city": "BURBANK",
"state": "CA",
"postal_code": "915022787",
"telephone_number": "818-441-7800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEO",
"first_name": "SUSAN",
"middle_name": "KAY",
"name_prefix": "Mrs.",
"credential": "MFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-07",
"last_updated": "2013-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC 30743",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burbank, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.