Organization Active NPI

Lasey'S Psychotherapy Services, Inc

  • Mental Health Counselor
  • Long Beach, CA
National Provider Identifier
1659851053
Registry record updated Aug 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LCS29611 Issued in CA
Legal business name
LASEY'S PSYCHOTHERAPY SERVICES, INC
Practice address
1232 E Wardlow Rd
Long Beach, CA 90807-4833
Phone
(562) 205-8846
NPI assigned
Aug 15, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2018

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

Authorized official

Name
Ms. Monique Lasey Gary, LCSW
Title
Owner
Phone
(562) 205-8846

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X LCS29611 CA Primary

Addresses

Primary practice location

1232 E Wardlow Rd
Long Beach, CA 90807-4833

Mailing address

1232 E Wardlow Rd
Long Beach, CA 90807-4833
Phone (562) 205-8846

Other identifiers 1

IdentifierTypeStateIssuer
00000OtherCAMENTAL HEALTH

National Provider Directory

National Provider Directory

Locations

1232 E Wardlow Rd
Long Beach, CA 90807
Phone (562) 205-8846

NPI Registry JSON

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

{
    "created_epoch": "1534291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534291200000",
    "number": "1659851053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1232 E WARDLOW RD",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908074833",
            "telephone_number": "562-205-8846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1232 E WARDLOW RD",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908074833",
            "telephone_number": "562-205-8846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LASEY'S PSYCHOTHERAPY SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-15",
        "last_updated": "2018-08-15",
        "status": "A",
        "authorized_official_last_name": "GARY",
        "authorized_official_first_name": "MONIQUE",
        "authorized_official_middle_name": "LASEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-205-8846",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "LCS29611",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MENTAL HEALTH",
            "identifier": "00000",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2018; 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.