Individual provider Active NPI

Lisa Laguardia Fischer, MA, LMFT

  • Marriage & Family Therapist
  • El Segundo, CA
National Provider Identifier
1063063725
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
113848 Issued in CA
Practice address
100 W Imperial Ave Ste M
El Segundo, CA 90245-2287
Phone
(917) 528-1530
NPI assigned
Sep 24, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 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 113848 CA Primary

Addresses

Primary practice location

100 W Imperial Ave Ste M
El Segundo, CA 90245-2287

Mailing address

100 W Imperial Ave Ste M
El Segundo, CA 90245-2287
Phone (917) 528-1530

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
113848CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Soul 2 Soul Therapy LLC Marriage & Family Therapist CurrentSince Jun 16, 2024 Accepting new patients

Locations

100 W Imperial Ave
Ste M
El Segundo, CA 90245
Phone (310) 210-4383

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": "1569283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1063063725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W IMPERIAL AVE STE M",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902452287",
            "telephone_number": "917-528-1530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W IMPERIAL AVE STE M",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902452287",
            "telephone_number": "917-528-1530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAGUARDIA FISCHER",
        "first_name": "LISA",
        "credential": "MA, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-24",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "113848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Segundo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 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.