Ina Lasmane, LMFT

Key facts

NPI

1619208329

Entity type

Individual (NPI type 1)

Primary specialty

Marriage & Family Therapist 106H00000X

License

1970 (MN)

Practice address

5100 Thimsen Ave
Suite 120
Minnetonka, MN 55345-4108

Phone

(612) 559-8704

Fax

(612) 279-8205

NPI assigned

Jan 20, 2010

Sex

Female

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 9, 2017.

{
    "created_epoch": "1263945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483920000000",
    "number": "1619208329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 THIMSEN AVE",
            "address_2": "SUITE 120",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553454108",
            "telephone_number": "612-559-8704",
            "fax_number": "612-279-8205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 THIMSEN AVE",
            "address_2": "SUITE 120",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553454108",
            "telephone_number": "612-559-8704",
            "fax_number": "612-279-8205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASMANE",
        "first_name": "INA",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-20",
        "last_updated": "2017-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "1970",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1619208329",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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All providers in Minnetonka, MN · Marriage & Family Therapist in Minnesota