JESSICA LEADER
NPI 1396355863
Marriage & Family Therapist in Los Angeles, CA

Active since August 08, 2020Opted out of Medicare · through Mar 19, 2028
11600 WASHINGTON PL STE 204, LOS ANGELES, CA 90066(310) 689-6648 Get Directions Write a Review

NPPES record last updated: August 8, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jessica Leader NPPES

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

JESSICA LEADER (NPI 1396355863) is an individual marriage & family therapist in Los Angeles, California, licensed in California (120691) and active in the NPI registry since August 2020. She has opted out of Medicare through March 19, 2028.

NPPES Registry Identity

NPI1396355863
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameJESSICA LEADER
Location Address11600 WASHINGTON PL STE 204Los Angeles, CA 90066-5068
Mailing Address1769 Glendon AveLos Angeles, CA 90024-5705 · (310) 689-6648
Sole ProprietorNo
Enumeration DateAugust 8, 2020
NPPES CertifiedAugust 8, 2020
NPI 1396355863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License Licensed in CA · 120691
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.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 8173 (CA)
11600 WASHINGTON PL STE 204, Los Angeles, CA 90066

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Jessica Leader 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 March 19, 2024 through March 19, 2028.

Opt-Out Effective DateMarch 19, 2024
Opt-Out In Effect ThroughMarch 19, 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.

Marriage & Family Therapist
11600 WASHINGTON PL STE 204
LOS ANGELES, CA 90066
Marriage & Family Therapist
11600 WASHINGTON PL STE 204
LOS ANGELES, CA 90066
Marriage & Family Therapist
11600 WASHINGTON PL STE 204
LOS ANGELES, CA 90066
Marriage & Family Therapist
11600 WASHINGTON PL STE 204
LOS ANGELES, CA 90066

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 Jessica Leader's NPI number?

The NPI number for Jessica Leader is 1396355863. It was assigned to this individual provider in the NPPES registry on August 8, 2020.

Where is Jessica Leader located?

Jessica Leader practices at 11600 Washington Pl Ste 204, Los Angeles, CA 90066. The listed phone number is (310) 689-6648.

What is Jessica Leader's specialty?

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

Is Jessica Leader enrolled in Medicare?

No. Jessica Leader has opted out of Medicare through March 19, 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 Jessica Leader was last updated on August 8, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.