Individual provider Active NPI

Laura Desantis, M.PHIL.ED.

  • Professional Counselor
  • San Francisco, CA
National Provider Identifier
1174923387
Registry record updated Oct 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PCC5453 Issued in CA
Practice address
655 Montgomery Street, Ste 490
DPT#17076
San Francisco, CA 94111
Phone
(415) 376-7385
NPI assigned
Aug 26, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PCC5453 CA Primary

Addresses

Primary practice location

655 Montgomery Street, Ste 490
DPT#17076
San Francisco, CA 94111

Mailing address

655 Montgomery Street, Ste 490
DPT#17076
San Francisco, CA 94111
Phone (415) 935-0947

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PCC5453CAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Laura Desantis LPCC Therapy Services Inc CurrentSince Apr 1, 2021 Accepting new patients

Locations

655 Montgomery St
Ste 490
San Francisco, CA 94111
Phone (415) 376-7385

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": "1409011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634774400000",
    "number": "1174923387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 MONTGOMERY STREET, STE 490",
            "address_2": "DPT#17076",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94111",
            "telephone_number": "415-935-0947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 MONTGOMERY STREET, STE 490",
            "address_2": "DPT#17076",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94111",
            "telephone_number": "415-376-7385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESANTIS",
        "first_name": "LAURA",
        "credential": "M.PHIL.ED.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-26",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "PCC5453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.