Active NPI
Carol M Lazo, LPCC
- Mental Health Counselor
- Santa Monica, CA
National Provider Identifier
1316422942
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 17239
- Practice address
- 720 Wilshire Blvd Ste 204
Santa Monica, CA 90401-1737 - Phone
- (424) 488-6422
- Fax
- (213) 652-6332
- NPI assigned
- Sep 28, 2018
- Last updated
- Jun 30, 2025
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 17239 | CA | Primary |
| Professional Counselor | 101YP2500X | NU | ||
| Exercise & Sports Psychologist | 103TE1100X | NU |
Addresses
Primary practice location
720 Wilshire Blvd Ste 204
Santa Monica, CA 90401-1737
Mailing address
13389 Folsom Blvd. #200
Folsom, CA 95630
Phone (424) 488-6422
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
| License | State | Type | Specialty |
|---|---|---|---|
| 17239 | CA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carol M Lazo, Licensed Professional Clinical Counselor P.C. | Mental Health | Current | Accepting new patients |
Locations
13389 Folsom Blvd
#200
Folsom, CA 95630
720 Wilshire Blvd
Ste 204
Santa Monica, CA 90401
Phone (424) 345-6377
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Counselor
- Santa Monica, CA
- NPI 1083503825
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751241600000",
"number": "1316422942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13389 FOLSOM BLVD. #200",
"city": "FOLSOM",
"state": "CA",
"postal_code": "95630",
"telephone_number": "424-488-6422",
"fax_number": "213-652-6332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "720 WILSHIRE BLVD STE 204",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904011737",
"telephone_number": "424-488-6422",
"fax_number": "213-652-6332"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAZO",
"first_name": "CAROL",
"middle_name": "M",
"credential": "LPCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-28",
"last_updated": "2025-06-30",
"certification_date": "2025-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "17239",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "103TE1100X",
"taxonomy_group": "",
"desc": "Psychologist, Exercise & Sports",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Monica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.