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
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- 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, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joshua David Bienenfeld, MSW
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Clinical Social Worker
- Los Angeles, CA
- NPI 1215234281
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.