Individual provider Active NPI

Kasey Lafferty, MSC

  • Marriage & Family Therapist
  • Los Angeles, CA
National Provider Identifier
1003524042
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT124789 Issued in CA
Practice address
11740 San Vicente Blvd Ste 109-189
Los Angeles, CA 90049-6610
Phone
(424) 234-8250
NPI assigned
Nov 8, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LMFT124789 CA Primary

Addresses

Primary practice location

11740 San Vicente Blvd Ste 109-189
Los Angeles, CA 90049-6610

Mailing address

11740 San Vicente Blvd Ste 109-189
Los Angeles, CA 90049-6610
Phone (424) 234-8250

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LMFT124789CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kasey Lafferty Marriage and Family Therapy, Inc. CurrentSince Feb 1, 2024 Accepting new patients

Locations

11740 San Vicente Blvd
Ste 109189
Los Angeles, CA 90049
Phone (424) 234-8250

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1667865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1003524042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11740 SAN VICENTE BLVD STE 109-189",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900496610",
            "telephone_number": "424-234-8250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11740 SAN VICENTE BLVD STE 109-189",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900496610",
            "telephone_number": "424-234-8250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAFFERTY",
        "first_name": "KASEY",
        "credential": "MSC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-08",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT124789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.