Jessica Lara

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

R1328991118 Issued in CA

Practice address

22519 Garzota Dr
Santa Clarita, CA 91350-2247

Phone

(818) 383-3201

NPI assigned

Dec 28, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1545955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545955200000",
    "number": "1720550874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22519 GARZOTA DR",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913502247",
            "telephone_number": "818-383-3201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22519 GARZOTA DR",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913502247",
            "telephone_number": "818-383-3201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARA",
        "first_name": "JESSICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-28",
        "last_updated": "2018-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "R1328991118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin Landau, PH.D.
• Dana Langston
• Passion Lynn Lanigan
• David M Lanum, DPT
• Timothy Richmond Lapp, RPH
• Ana R. Larco
• Larcon Respicare, Inc
• Briana Lares
• David Larsen, M. A., A.T., C.
• Lindsey Ann Lassak

• Addiction (Substance Use Disorder) Counselor in Santa Clarita, CA
• Providers in Santa Clarita, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 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.