Active NPI
Dominick Carl Anthony Lasorsa, MS, LADC
- Mental Health Counselor
- Sparks, NV
National Provider Identifier
1558671982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 480 Galletti Way
Sparks, NV 89431-5564 - Phone
- (775) 688-2001
- Fax
- (775) 688-2004
- NPI assigned
- Oct 19, 2010
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Blind Rehabilitation Specialist/Technologist | 2255R0406X | |||
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
480 Galletti Way
Sparks, NV 89431-5564
Mailing address
480 Galletti Way
Sparks, NV 89431-5564
Phone (775) 688-2001
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7753484894 | Other | NV | HOME PHONE |
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
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421193600000",
"number": "1558671982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "480 GALLETTI WAY",
"city": "SPARKS",
"state": "NV",
"postal_code": "894315564",
"telephone_number": "775-688-2001",
"fax_number": "775-688-2004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "480 GALLETTI WAY",
"city": "SPARKS",
"state": "NV",
"postal_code": "894315564",
"telephone_number": "775-688-2001",
"fax_number": "775-688-2004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LASORSA",
"first_name": "DOMINICK CARL",
"middle_name": "ANTHONY",
"name_prefix": "Mr.",
"credential": "MS, LADC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-10-19",
"last_updated": "2015-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "2255R0406X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Rehabilitation, Blind",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HOME PHONE",
"identifier": "7753484894",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sparks, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.