Individual provider Active NPI

Anne Sofie Lassen Foley

  • Marriage & Family Therapist
  • San Juan Capistrano, CA
National Provider Identifier
1104464213
Registry record updated Apr 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
113641 Issued in CA
Practice address
31111 Via Solana
San Juan Capistrano, CA 92675-2919
Phone
(562) 552-7324
NPI assigned
Dec 19, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 113641 CA Primary
Counselor 101Y00000X

Addresses

Primary practice location

31111 Via Solana
San Juan Capistrano, CA 92675-2919

Mailing address

31111 Via Solana
San Juan Capistrano, CA 92675-2919
Phone (562) 552-7324

Other practice location 1

5410 N 44th St
Tacoma, WA 98407-3799
Phone (253) 759-9544

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
113641CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1576713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650326400000",
    "number": "1104464213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31111 VIA SOLANA",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926752919",
            "telephone_number": "562-552-7324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31111 VIA SOLANA",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926752919",
            "telephone_number": "562-552-7324"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5410 N 44th St",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984073799",
            "country_code": "US",
            "telephone_number": "253-759-9544",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LASSEN FOLEY",
        "first_name": "ANNE",
        "middle_name": "SOFIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-19",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "113641",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan Capistrano, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2022; 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.