Active NPI
Christine Ann Lusareta, LMFT
- Marriage & Family Therapist
- Daly City, CA
National Provider Identifier
1194385328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 100290
- Practice address
- 349 Philip Dr Apt 208
Daly City, CA 94015-2425 - Phone
- (415) 652-3930
- NPI assigned
- Jun 19, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 100290 | CA | Primary |
Addresses
Primary practice location
349 Philip Dr Apt 208
Daly City, CA 94015-2425
Mailing address
PO Box 5329
South San Francisco, CA 94083-5329
Phone (415) 494-9879
Other names 1
- Christy Lusareta
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- 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 |
|---|---|---|---|
| 100290 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683158400000",
"number": "1194385328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5329",
"city": "SOUTH SAN FRANCISCO",
"state": "CA",
"postal_code": "940835329",
"telephone_number": "415-494-9879"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "349 PHILIP DR APT 208",
"city": "DALY CITY",
"state": "CA",
"postal_code": "940152425",
"telephone_number": "415-652-3930"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUSARETA",
"first_name": "CHRISTINE",
"middle_name": "ANN",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-06-19",
"last_updated": "2023-05-04",
"certification_date": "2023-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "100290",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHRISTY",
"last_name": "LUSARETA",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Daly City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.