Organization Active NPI

J D Bienenfeld MSW Licensed Clinical Social Workerc Corp Lighthouse Psychotherapy

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • West Toluca Lake, CA
National Provider Identifier
1982404919
Registry record updated Aug 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
J D BIENENFELD MSW LICENSED CLINICAL SOCIAL WORKERC CORP LIGHTHOUSE PSYCHOTHERAPY
Practice address
11122 Riverside Dr Unit 101
West Toluca Lake, CA 91602-2186
Phone
(818) 430-2792
NPI assigned
Mar 18, 2025
Last updated
Aug 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2025

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

Authorized official

Name
Joshua David Bienenfeld, MSWNPI 1215234281
Title
Ceo
Phone
(818) 430-2792

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

11122 Riverside Dr Unit 101
West Toluca Lake, CA 91602-2186

Mailing address

4365 E Lowell St Ste H
Ontario, CA 91761-2226
Phone (818) 430-2792

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251028001680 CA Part B Supplier - Clinic/Group Practice 9032608336 Receives reassigned benefits from 1 practitioner
Practice locations: Studio City, CA

National Provider Directory

National Provider Directory

Locations

4365 E Lowell St
Ste H
Ontario, CA 91761
Phone (909) 390-5772

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1742256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754870400000",
    "number": "1982404919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4365 E LOWELL ST STE H",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917612226",
            "telephone_number": "818-430-2792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11122 RIVERSIDE DR UNIT 101",
            "city": "WEST TOLUCA LAKE",
            "state": "CA",
            "postal_code": "916022186",
            "telephone_number": "818-430-2792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J D BIENENFELD MSW LICENSED CLINICAL SOCIAL WORKERC CORP LIGHTHOUSE PSYCHOTHERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-18",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-08",
        "status": "A",
        "authorized_official_last_name": "BIENENFELD",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-430-2792",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Toluca Lake, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.