Active NPI
Jennifer Allison Laska, MA MFT, LMHC, CMHS
- Mental Health Counselor
- Coupeville, WA
National Provider Identifier
1578838835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 105 NW 1St St
Coupeville, WA 98239-3138 - Phone
- (360) 682-4016
- NPI assigned
- Mar 19, 2012
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | |||
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
105 NW 1St St
Coupeville, WA 98239-3138
Mailing address
PO Box 3810
Everett, WA 98213-8810
Phone (360) 682-4016
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2014
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
6550 York Ave S
Edina, MN 55435-2336
Phone (952) 426-3034
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mary Mullenbach, PHD, LP, Inc | Current | Accepting new patients |
Locations
6550 York Ave S
Ste 417
Minneapolis, MN 55435
Phone (952) 426-3034
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychologist
- Edina, MN
- NPI 1801182837
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565827200000",
"number": "1578838835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3810",
"city": "EVERETT",
"state": "WA",
"postal_code": "982138810",
"telephone_number": "360-682-4016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 NW 1ST ST",
"city": "COUPEVILLE",
"state": "WA",
"postal_code": "982393138",
"telephone_number": "360-682-4016"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LASKA",
"first_name": "JENNIFER",
"middle_name": "ALLISON",
"name_prefix": "Mrs.",
"credential": "MA MFT, LMHC, CMHS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-03-19",
"last_updated": "2019-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coupeville, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2019; 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.