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ANTOINETTE DE LEON LICENSED MARRIAGE AND FAMILY THERAPIST INC
NPI 1306596507
Marriage & Family Therapist in Encino, CA

Active since March 28, 2022Opted out of Medicare · through Jan 1, 2028
16060 VENTURA BLVD, UNIT 110 PMB 1012, ENCINO, CA 91436(818) 421-7020 Get Directions Write a Review

NPPES record last updated: June 5, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Antoinette De Leon Licensed Marriage And Family Therapist Inc NPPES

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

ANTOINETTE DE LEON LICENSED MARRIAGE AND FAMILY THERAPIST INC (NPI 1306596507) is a healthcare organization registered as a marriage & family therapist in Encino, California and active in the NPI registry since March 2022. The organization has opted out of Medicare through January 1, 2028 and lists Antoinette De Leon, Ceo, as its authorized official.

NPPES Registry Identity

NPI1306596507
Entity TypeOrganization
Primary Taxonomy106H00000X
Legal Business NameANTOINETTE DE LEON LICENSED MARRIAGE AND FAMILY THERAPIST INC
Location Address16060 VENTURA BLVD, UNIT 110 PMB 1012Encino, CA 91436-4916
Mailing Address4930 Balboa Blvd #261054Encino, CA 91426-7052 · (818) 421-7020
Phone(818) 421-7020
Organization SubpartNo
Authorized OfficialAntoinette De LeonCeo · (818) 421-7020
Enumeration DateMarch 28, 2022
Last NPPES UpdateJune 5, 2022
NPPES CertifiedJune 5, 2022
✔ NPI 1306596507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
16060 VENTURA BLVD, Encino, CA 91436
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

Antoinette De Leon Licensed Marriage And Family Therapist Inc 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 January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-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.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JL MEDEIROS & CO
Internal Medicine
16060 VENTURA BLVD, STE 105-507
ENCINO, CA 91436
Los Angeles County (661) 229-6226
MYEISHA BROOKS
Marriage & Family Therapist
16060 VENTURA BLVD
ENCINO, CA 91436
Los Angeles County (818) 835-3137
ENCINO FAMILY PHARMACY INC
Pharmacy (Community/Retail Pharmacy)
16060 VENTURA BLVD, UNIT #109
ENCINO, CA 91436
Los Angeles County (818) 387-8119
DEAN HILLEL WEISS M.D.
Internal Medicine
16060 VENTURA BLVD, SUITE 110 - 124
ENCINO, CA 91436
Los Angeles County (310) 437-3407

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Antoinette De Leon Licensed Marriage And Family Therapist Inc's NPI number?

The NPI number for Antoinette De Leon Licensed Marriage And Family Therapist Inc is 1306596507. It was assigned to this organization in the NPPES registry on March 28, 2022.

Where is Antoinette De Leon Licensed Marriage And Family Therapist Inc located?

Antoinette De Leon Licensed Marriage And Family Therapist Inc is located at 16060 Ventura Blvd Unit 110 Pmb 1012, Encino, CA 91436. The listed phone number is (818) 421-7020.

What is Antoinette De Leon Licensed Marriage And Family Therapist Inc's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Antoinette De Leon Licensed Marriage And Family Therapist Inc enrolled in Medicare?

No. Antoinette De Leon Licensed Marriage And Family Therapist Inc has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Antoinette De Leon Licensed Marriage And Family Therapist Inc was last updated on June 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.