Larisa Ivanovna Escalante, LMFT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

8105 Issued in CA

Practice address

3960 Industrial Blvd Ste 200
West Sacramento, CA 95691-5024

Phone

(916) 752-8965

NPI assigned

Sep 16, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Larisa Ivanovna Dovbush Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Horizon Family and Community Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • West Sacramento, CA
  • NPI 1487120374
  NPD (past)

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

{
    "created_epoch": "1600214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689897600000",
    "number": "1295341121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1554",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957591554",
            "telephone_number": "916-896-2768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3960 INDUSTRIAL BLVD STE 200",
            "city": "WEST SACRAMENTO",
            "state": "CA",
            "postal_code": "956915024",
            "telephone_number": "916-752-8965"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4470 W Sunset Blvd Ste 107",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900276309",
            "country_code": "US",
            "telephone_number": "323-968-6182",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ESCALANTE",
        "first_name": "LARISA",
        "middle_name": "IVANOVNA",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-16",
        "last_updated": "2023-07-21",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "140018",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "8105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LARISA",
            "last_name": "DOVBUSH",
            "middle_name": "IVANOVNA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Beth Ellenberger, N.P.
• Bonnie Elliott
• Edward Douglas Emerson, MFTI
• Melissa Yamileth Enamorado
• Mezmariah Ernst
• Arlene D Espiritu, O.D.
• Dante Treyes Estrera, MASSAGE THERAPIST
• Brooke N Fahle
• Xin Fang
• Krista Farnady

• Mental Health Counselor in West Sacramento, CA
• Providers in West Sacramento, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2023; 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.