Active NPI
Laura Joanne Nicassio, MA. AMFT
- Marriage & Family Therapist
- Long Beach, CA
National Provider Identifier
1679357503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 150598
- Practice address
- 3633 E Broadway
Long Beach, CA 90803-6035 - Phone
- (562) 285-1330
- NPI assigned
- Aug 22, 2023
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | |||
| Case Manager/Care Coordinator | 171M00000X | |||
| Marriage & Family Therapist | 106H00000X | 150598 | CA | Primary |
Addresses
Primary practice location
3633 E Broadway
Long Beach, CA 90803-6035
Mailing address
PO Box 936
Lakewood, CA 90714-0936
Phone (562) 279-3277
Other practice location 1
4281 Katella Ave Ste 207
Los Alamitos, CA 90720-6515
Phone (858) 547-9803
Other practice location 2
2116 Arlington Ave Ste 100
Los Angeles, CA 90018-1300
Phone (323) 334-9000
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 150598 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753056000000",
"number": "1679357503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 936",
"city": "LAKEWOOD",
"state": "CA",
"postal_code": "907140936",
"telephone_number": "562-279-3277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3633 E BROADWAY",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908036035",
"telephone_number": "562-285-1330"
}
],
"practiceLocations": [
{
"address_1": "4281 Katella Ave Ste 207",
"address_purpose": "LOCATION",
"city": "Los Alamitos",
"state": "CA",
"postal_code": "907206515",
"country_code": "US",
"telephone_number": "858-547-9803",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2116 Arlington Ave Ste 100",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900181300",
"country_code": "US",
"telephone_number": "323-334-9000",
"fax_number": "323-334-4437",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NICASSIO",
"first_name": "LAURA",
"middle_name": "JOANNE",
"credential": "MA. AMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-22",
"last_updated": "2025-07-21",
"certification_date": "2025-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "150598",
"primary": true
}
],
"identifiers": [],
"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 Jul 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.