Individual provider Active NPI

Lakshmi Jagannathan

  • Marriage & Family Therapist
  • Saratoga, CA
National Provider Identifier
1801514336
Registry record updated Aug 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
14280 Lutheria Way
Saratoga, CA 95070-5976
Phone
(503) 515-2561
NPI assigned
Aug 19, 2022
Last updated
Aug 19, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2022

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 NU Primary

Addresses

Primary practice location

14280 Lutheria Way
Saratoga, CA 95070-5976

Mailing address

14280 Lutheria Way
Saratoga, CA 95070-5976
Phone (503) 515-2561

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
I20260316003011 CA Practitioner - Marriage and Family Therapist 1557844735 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4850 Union Ave
San Jose, CA 95124-5156

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
LGTC Group Marriage & Family Therapist CurrentSince Jan 17, 2026 Accepting new patients
Los Gatos Therapy Center PastSince Apr 17, 2022 Accepting new patients
WK Medical Group Marriage & Family Therapist PastSince Aug 7, 2021 Accepting new patients

Locations

1575 Old Bayshore Hwy
Ste 201
Burlingame, CA 94010
Phone (408) 542-0399

2235 Douglas Blvd
Ste 500
Roseville, CA 95661
Phone (916) 622-2620

4850 Union Ave
San Jose, CA 95124
Phone (408) 559-5600

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1660867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660867200000",
    "number": "1801514336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14280 LUTHERIA WAY",
            "city": "SARATOGA",
            "state": "CA",
            "postal_code": "950705976",
            "telephone_number": "503-515-2561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14280 LUTHERIA WAY",
            "city": "SARATOGA",
            "state": "CA",
            "postal_code": "950705976",
            "telephone_number": "503-515-2561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAGANNATHAN",
        "first_name": "LAKSHMI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-19",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saratoga, CA

Sources for this page

Verify at the official NPI Registry.