Active NPI
Stephanie Lanza
- Marriage & Family Therapist
- El Monte, CA
National Provider Identifier
1336576628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- IMF74189
- Practice address
- 11057 Basye St
El Monte, CA 91731-1655 - Phone
- (626) 444-0539
- Fax
- (626) 444-7990
- NPI assigned
- Oct 1, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | IMF 74189 | CA | |
| Marriage & Family Therapist | 106H00000X | IMF74189 | CA | Primary |
Addresses
Primary practice location
11057 Basye St
El Monte, CA 91731-1655
Mailing address
11057 Basye St
El Monte, CA 91731-1655
Phone (626) 444-0539
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 |
|---|---|---|---|
| IMF 74189 | CA | MD | Mental Health Counselor |
| IMF74189 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1501804800000",
"number": "1336576628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11057 BASYE ST",
"city": "EL MONTE",
"state": "CA",
"postal_code": "917311655",
"telephone_number": "626-444-0539",
"fax_number": "626-444-7990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11057 BASYE ST",
"city": "EL MONTE",
"state": "CA",
"postal_code": "917311655",
"telephone_number": "626-444-0539",
"fax_number": "626-444-7990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANZA",
"first_name": "STEPHANIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-10-01",
"last_updated": "2017-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "IMF 74189",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "IMF74189",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Monte, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.