Active NPI
Anne Sofie Lassen Foley
- Marriage & Family Therapist
- San Juan Capistrano, CA
National Provider Identifier
1104464213
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 113641
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 113641 | CA | MD | Marriage & 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.