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HEESEUNG LEE
NPI 1649630914
Marriage & Family Therapist in Los Angeles, CA

Active since March 01, 2016PECOS Enrolled
3727 W. 6TH STREET, SUITE 507, LOS ANGELES, CA 90020(949) 390-4460(213) 529-4224 Get Directions Write a Review

NPPES record last updated: July 17, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 17, 2026, Mar 1, 2016 (2 updates tracked since 2016).

About Heeseung Lee NPPES

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

HEESEUNG LEE (NPI 1649630914) is an individual marriage & family therapist in Los Angeles, California, licensed in California (105644) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1649630914
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameHEESEUNG LEE
Location Address3727 W. 6TH STREET, SUITE 507Los Angeles, CA 90020
Mailing Address155 OverbrookIrvine, CA 92620-2177 · (949) 390-4460
Phone(949) 390-4460
Fax(213) 529-4224
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateMarch 1, 2016
Last NPPES UpdateJuly 17, 20262 updates tracked since enumeration
NPPES CertifiedJuly 17, 2026
✔ NPI 1649630914 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 · 105644
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.
3727 W. 6TH STREET, SUITE 507, Los Angeles, CA 90020
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID6002399979
PECOS Enrollment IDI20260310002859
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 Heeseung Lee reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PC
303 mi
Mental Health
99 S ALMADEN BLVD STE 600
San Jose, CA 95113
  • Reassigned Medicare billing, California enrollment
  • 3,139 clinicians in this Medicare group
NPI 1154994846 (408) 402-4385

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 Heeseung Lee's NPI number?

The NPI number for Heeseung Lee is 1649630914. It was assigned to this individual provider in the NPPES registry on March 1, 2016.

Where is Heeseung Lee located?

Heeseung Lee practices at 3727 W. 6th Street, Suite 507, Los Angeles, CA 90020. The listed phone number is (949) 390-4460.

What is Heeseung Lee's specialty?

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

Is Heeseung Lee enrolled in Medicare?

Yes. Heeseung Lee is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Heeseung Lee's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Heeseung Lee reassigns Medicare benefits to Grow Healthcare Group PC (San Jose, 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 Heeseung Lee'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 Heeseung Lee was last updated on July 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.