Individual provider Active NPI

Sameh Wasfi

  • Counselor
  • Lake Forest, CA
National Provider Identifier
1306153424
Registry record updated Feb 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
21381 Falkirk LN
Lake Forest, CA 92630-8033
Phone
(949) 954-0756
Fax
(949) 242-2889
NPI assigned
Sep 10, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 96157 CA
Counselor 101Y00000X Primary

Addresses

Primary practice location

21381 Falkirk LN
Lake Forest, CA 92630-8033

Mailing address

21381 Falkirk LN
Lake Forest, CA 92630-8033
Phone (714) 757-7957

Other names 1

  • Sam Wasfi Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL sam@betterlifepsych.com Direct

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

State licenses

LicenseStateTypeSpecialty
96157CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1284076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612224000000",
    "number": "1306153424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21381 FALKIRK LN",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926308033",
            "telephone_number": "714-757-7957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21381 FALKIRK LN",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926308033",
            "telephone_number": "949-954-0756",
            "fax_number": "949-242-2889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASFI",
        "first_name": "SAMEH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-10",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "96157",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "sam@betterlifepsych.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "electronic",
            "address_1": "21381 Falkirk Ln",
            "city": "Lake Forest",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926308033",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SAM",
            "last_name": "WASFI",
            "credential": "LMFT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lake Forest, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.

Verify at the official NPI Registry.