JEFFREY T BORNSTEIN MS, LPCC
NPI 1053620732
Counselor - Mental Health in Los Angeles, CA

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

Active since September 29, 2010Opted out of Medicare · through Jun 25, 2027

4620 HOLLYWOOD BLVD, LOS ANGELES, CA 90027(323) 362-6555 Get Directions Write a Review

NPPES record last updated: December 17, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Jeffrey T Bornstein Ms, Lpcc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEFFREY T BORNSTEIN MS, LPCC (NPI 1053620732) is an individual mental health provider in Los Angeles, California, licensed in California (423) and active in the NPI registry since September 2010. He has opted out of Medicare through June 25, 2027.

NPPES Registry Identity

NPI1053620732

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameJEFFREY T BORNSTEINCredential: MS, LPCC

Location Address4620 HOLLYWOOD BLVDLos Angeles, CA 90027-5408

Mailing Address4620 Hollywood BlvdLos Angeles, CA 90027-5408 · (323) 362-6555

Phone(323) 362-6555

Sole ProprietorYes

Enumeration DateSeptember 29, 2010

Last NPPES UpdateDecember 17, 2015

✔ NPI 1053620732 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

Licenses✔ Licensed in CA · 423✔ Licensed in TX · 64697

4620 HOLLYWOOD BLVD, Los Angeles, CA 90027

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Jeffrey T Bornstein Ms, Lpcc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 25, 2025 through June 25, 2027.

Opt-Out Effective DateJune 25, 2025

Opt-Out In Effect ThroughJune 25, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.