LIDA SPORTEL
NPI 1417815622
Marriage & Family Therapist in Oxnard, CA

Active since January 14, 2026PECOS Enrolled
2346 NICKLAUS ST, OXNARD, CA 93036(805) 620-7586 Get Directions Write a Review

NPPES record last updated: January 14, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Lida Sportel NPPES

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

LIDA SPORTEL (NPI 1417815622) is an individual marriage & family therapist in Oxnard, California, licensed in California (92561) and active in the NPI registry since January 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1417815622
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameLIDA SPORTEL
Location Address2346 NICKLAUS STOxnard, CA 93036-2535
Mailing Address2346 Nicklaus StOxnard, CA 93036-2535 · (805) 620-7586
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateJanuary 14, 2026
NPPES CertifiedJanuary 14, 2026
✔ NPI 1417815622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · 92561
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.
2346 NICKLAUS ST, Oxnard, CA 93036

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lida Sportel is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7012492499
PECOS Enrollment IDI20260402003503
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Lida Sportel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health (Including Community Mental Health Center)
402 W BROADWAY STE 400
San Diego, CA 92101
  • Reassigned Medicare billing, California enrollment
  • 545 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Lida Sportel's NPI number?

The NPI number for Lida Sportel is 1417815622. It was assigned to this individual provider in the NPPES registry on January 14, 2026.

Where is Lida Sportel located?

Lida Sportel practices at 2346 Nicklaus St, Oxnard, CA 93036. The listed phone number is (805) 620-7586.

What is Lida Sportel's specialty?

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

Is Lida Sportel enrolled in Medicare?

Yes. Lida Sportel is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Lida Sportel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lida Sportel reassigns Medicare benefits to Cyti Health PC (San Diego, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lida Sportel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Lida Sportel was last updated on January 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.