Active NPI
Laura Desantis, M.PHIL.ED.
- Professional Counselor
- San Francisco, CA
National Provider Identifier
1174923387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PCC5453
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| PCC5453 | CA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Laura Desantis LPCC Therapy Services Inc | Current | 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.
-
- Adult Mental Health Clinic/Center
- San Francisco, CA
- NPI 1013599539
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
- Arpita Desai, M.D.
- Maharaj Shashi Desai, PHD
- Sharon Pulikkottil Desai, PHARMD
- Tamanna Desai, FNP-C
- Yaanik Binoy Desai, M.D.
- Lauren Desantis, MS, CCC-SLP
- Daysha Desaulnier
- Deschamps-Braly Clinic of Plastic and Craniofacial Surgery
- Deschamps-Braly Foundation for Pediatric Craniofacial Maladies
- Jordan C Deschamps-Braly, MD, FACS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.