Lara Touckly

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

591 Camino de la Reina Ste 802
San Diego, CA 92108-3110

Phone

(858) 519-8002

NPI assigned

Aug 4, 2017

Last updated

Jun 18, 2021By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Vanessa Villasenor Licensed Marriage and Family Therapist Inc

  dba A Place of Growth

  • Mental Health Counselor
  • San Diego, CA
  • NPI 1083198782
  NPD

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

{
    "created_epoch": "1501804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623974400000",
    "number": "1417472028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "591 CAMINO DE LA REINA STE 802",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083110",
            "telephone_number": "858-519-8002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "591 CAMINO DE LA REINA STE 802",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083110",
            "telephone_number": "858-519-8002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOUCKLY",
        "first_name": "LARA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-04",
        "last_updated": "2021-06-18",
        "certification_date": "2021-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandria Ryann Toth I
• Carolyn J. Toth
• Daniel Albert Totleben, PHARM.D.
• Alaina Marie Totton
• William Tottress-Johnson
• Ranim Touma
• Annabelle C. Touponce
• Sarah Touponse
• Touran Davoudi DDS Dental Co.
• Mary Tourgoli

• Mental Health Counselor in San Diego, CA
• Providers in San Diego, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.