Individual provider Active NPI

Sheila Ann Lassegard, LMFT

  • Marriage & Family Therapist
  • Templeton, CA
National Provider Identifier
1710138342
Registry record updated Nov 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC35967 Issued in CA
Practice address
200 S Main St
Suite a
Templeton, CA 93465-9366
Phone
(805) 462-4672
Fax
(805) 462-3496
NPI assigned
Oct 1, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC35967 CA Primary

Addresses

Primary practice location

200 S Main St
Suite a
Templeton, CA 93465-9366

Mailing address

200 S Main St
Suite a
Templeton, CA 93465-9366
Phone (805) 462-4672

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240117002360 CA Practitioner - Marriage and Family Therapist 7719339506 Practice locations: Templeton, CA

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

200 S Main St
Suite a
Templeton, CA 93465-9366
Phone (805) 462-4672

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MFC35967CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1222819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605225600000",
    "number": "1710138342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S MAIN ST",
            "address_2": "SUITE A",
            "city": "TEMPLETON",
            "state": "CA",
            "postal_code": "934659366",
            "telephone_number": "805-462-4672",
            "fax_number": "805-462-3496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S MAIN ST",
            "address_2": "SUITE A",
            "city": "TEMPLETON",
            "state": "CA",
            "postal_code": "934659366",
            "telephone_number": "805-462-4672",
            "fax_number": "805-462-3496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASSEGARD",
        "first_name": "SHEILA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-01",
        "last_updated": "2020-11-13",
        "certification_date": "2020-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC35967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Templeton, CA

Sources for this page

Verify at the official NPI Registry.