Active NPI
Jennifer Leal
- Marriage & Family Therapist
- Sierra Madre, CA
National Provider Identifier
1992158570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 114991
- Practice address
- 37 Auburn Ave Ste 1
Sierra Madre, CA 91024-1846 - Phone
- (626) 470-9834
- Fax
- (866) 541-3233
- NPI assigned
- Jul 19, 2016
- Sex
- Female
- Sole proprietor
- No
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 | 114991 | CA | Primary |
Addresses
Primary practice location
37 Auburn Ave Ste 1
Sierra Madre, CA 91024-1846
Mailing address
37 Auburn Ave Ste 1
Sierra Madre, CA 91024-1846
Phone (626) 470-9834
Other names 1
- Jennie Leal
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 114991 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567468800000",
"number": "1992158570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37 AUBURN AVE STE 1",
"city": "SIERRA MADRE",
"state": "CA",
"postal_code": "910241846",
"telephone_number": "626-470-9834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37 AUBURN AVE STE 1",
"city": "SIERRA MADRE",
"state": "CA",
"postal_code": "910241846",
"telephone_number": "626-470-9834",
"fax_number": "866-541-3233"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEAL",
"first_name": "JENNIFER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-19",
"last_updated": "2019-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "114991",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIE",
"last_name": "LEAL",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Sierra Madre, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.