Deidre Lavrador, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

90272 Issued in CA

Practice address

720 Sunrise Ave Ste 115D
Roseville, CA 95661-4509

Phone

(916) 850-0147

Fax

(916) 772-8527

NPI assigned

Apr 15, 2016

Last updated

May 26, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1460678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590451200000",
    "number": "1316391394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 SUNRISE AVE STE 115D",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956614509",
            "telephone_number": "916-850-0147",
            "fax_number": "916-772-8527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 SUNRISE AVE STE 115D",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956614509",
            "telephone_number": "916-850-0147",
            "fax_number": "916-772-8527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVRADOR",
        "first_name": "DEIDRE",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-15",
        "last_updated": "2020-05-26",
        "certification_date": "2020-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "90272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cian Laurentino-Petri
• Aeris Verlaine Miclat Lautchang
• Tracy Routh Lautenslager, LPT
• Sylvie Lauzon
• Janet C Laverty, FNP
• Lisa Law, M.D.
• Timothy Dexter Law, M.D.
• Aaron Lawrence, RT
• Shelena Dawn Laws, M.D.
• Arianna Lawson-Price, RBT

• Marriage & Family Therapist in Roseville, CA
• Providers in Roseville, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2020; 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.