Organization Active NPI

Jeanette Kay Lasater

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Oakdale, CA
National Provider Identifier
1639551856
Registry record updated Jun 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
LMFT40853 Issued in CA
Legal business name
JEANETTE KAY LASATER
Practice address
603 W F St
Oakdale, CA 95361-3734
Phone
(209) 288-2682
Fax
(209) 288-2682
NPI assigned
Jun 24, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2015

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

Authorized official

Name
Jeanette Kay Lasater, LMFTNPI 1871625400
Title
Licensedmarriage & Family Therapist
Phone
(209) 288-2682

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X LMFT40853 CA Primary
Adult Mental Health Clinic/Center 261QM0850X LMFT40853 CA
Adolescent and Children Mental Health Clinic/Center 261QM0855X LMFT40853 CA

Addresses

Primary practice location

603 W F St
Oakdale, CA 95361-3734

Mailing address

PO Box 238
Columbia, CA 95310-0238

National Provider Directory

National Provider Directory

Locations

603 W F St
Oakdale, CA 95361
Phone (209) 288-2682

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1435104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435104000000",
    "number": "1639551856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 238",
            "city": "COLUMBIA",
            "state": "CA",
            "postal_code": "953100238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 W F ST",
            "city": "OAKDALE",
            "state": "CA",
            "postal_code": "953613734",
            "telephone_number": "209-288-2682",
            "fax_number": "209-288-2682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEANETTE KAY LASATER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-24",
        "last_updated": "2015-06-24",
        "status": "A",
        "authorized_official_last_name": "LASATER",
        "authorized_official_first_name": "JEANETTE",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "LICENSEDMARRIAGE & FAMILY THERAPIST",
        "authorized_official_telephone_number": "209-288-2682",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "CA",
            "license": "LMFT40853",
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "CA",
            "license": "LMFT40853",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "CA",
            "license": "LMFT40853",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakdale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.

Verify at the official NPI Registry.