Andrew Bassuk, PSY.D;LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LCS18293 Issued in CA

Practice address

119 Figueroa St
Ventura, CA 93001-2756

Phone

(805) 208-4428

NPI assigned

Oct 24, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1548344708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1909 E MAIN ST",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930013406",
            "telephone_number": "805-208-4428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 FIGUEROA ST",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930012756",
            "telephone_number": "805-208-4428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASSUK",
        "first_name": "ANDREW",
        "credential": "PSY.D;LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "LCS18293",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "SW18293",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Felicite Kattan Barton, LMFT
• Macarena Basanes, DO
• Karthik Basappa, DO
• Holly Baskett
• Robell Mateo Bassett, MD
• Gloria Del Carmen Batarse-Santos
• Amy Batcheler, RN, BSN, MSN, CPNP
• Elizabeth Rosan Batchelor, O.D.
• Bruce Wallace Bates, MFT
• Mark K Batesole, DDS, MS

• Mental Health Counselor in Ventura, CA
• Providers in Ventura, 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 Mar 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.