Alison Bryn Lasov, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

88188 Issued in CA

Practice address

1600 Main St
Venice, CA 90291-3626

Phone

(818) 324-2875

NPI assigned

Apr 22, 2019

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

Other names 1

• Alison Bryn Fussell Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1555891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555891200000",
    "number": "1437712759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 S BARRINGTON AVE APT 4315",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900494343",
            "telephone_number": "818-324-2875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 MAIN ST",
            "city": "VENICE",
            "state": "CA",
            "postal_code": "902913626",
            "telephone_number": "818-324-2875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASOV",
        "first_name": "ALISON",
        "middle_name": "BRYN",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-22",
        "last_updated": "2019-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "88188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALISON",
            "last_name": "FUSSELL",
            "middle_name": "BRYN",
            "credential": "LMFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Carrie Lynn Kowalski, MPAP, PA-C
• Kevin Kunkel, MFT
• Sakura Kuo
• Karen C. Lamp, M.D.
• Katharine Hardy Lansaw
• Angela Laurino, L.AC
• Shir Lavian, M.S.
• Justin William Lawrence
• Lauren Jan Laws, MSN, CNM, WHNP
• Le Medical Associates PC

• Marriage & Family Therapist in Venice, CA
• Providers in Venice, 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 Apr 22, 2019; 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.