Stacey N Larsen, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

84599 Issued in CA

Practice address

110 S C St Ste a
Lompoc, CA 93436-7340

Phone

(805) 735-4376

NPI assigned

Aug 30, 2010

Last updated

Jan 26, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Stacey N Anderson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1283126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611619200000",
    "number": "1447566294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5385 HOLLISTER AVE BLDG 14",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931112389",
            "telephone_number": "805-884-1679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S C ST STE A",
            "city": "LOMPOC",
            "state": "CA",
            "postal_code": "934367340",
            "telephone_number": "805-735-4376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSEN",
        "first_name": "STACEY",
        "middle_name": "N",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-30",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "84599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACEY",
            "last_name": "ANDERSON",
            "middle_name": "N",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lanzon McAninch Dental Partnership (Lompoc Oral and Maxillofacial Surgery)
• Karla G Lara
• Shane N Lariba
• Victoria Larocco
• Amber Shealene Laroe-Winter
• Diana Mari Le Blanc, PPS
• Esther Y Lee
• Devon Leininger
• David F Lemmel, M.D.
• Jacob Lenox

• Marriage & Family Therapist in Lompoc, CA
• Providers in Lompoc, 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 Jan 26, 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.