Active NPI
Marissa Meronea Lahann
- Mental Health Counselor
- Milpitas, CA
National Provider Identifier
1295402162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 761 Lexington St
Milpitas, CA 95035-3826 - Phone
- (408) 334-0801
- NPI assigned
- Aug 26, 2021
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
761 Lexington St
Milpitas, CA 95035-3826
Mailing address
761 Lexington St
Milpitas, CA 95035-3826
Phone (408) 334-0801
Other practice location 1
950 W Julian St
San Jose, CA 95126-2719
Phone (669) 266-6822
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629936000000",
"number": "1295402162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "761 LEXINGTON ST",
"city": "MILPITAS",
"state": "CA",
"postal_code": "950353826",
"telephone_number": "408-334-0801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "761 LEXINGTON ST",
"city": "MILPITAS",
"state": "CA",
"postal_code": "950353826",
"telephone_number": "408-334-0801"
}
],
"practiceLocations": [
{
"address_1": "950 W Julian St",
"address_purpose": "LOCATION",
"city": "San Jose",
"state": "CA",
"postal_code": "951262719",
"country_code": "US",
"telephone_number": "669-266-6822",
"fax_number": "408-287-3104",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LAHANN",
"first_name": "MARISSA",
"middle_name": "MERONEA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-26",
"last_updated": "2021-08-26",
"certification_date": "2021-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Milpitas, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.