Individual provider Active NPI

Toni Marie Lasiewicki, MFTI

  • Marriage & Family Therapist
  • San Diego, CA
National Provider Identifier
1821247966
Registry record updated Sep 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
IMF87209 Issued in CA
Practice address
1465 30TH St
San Diego, CA 92154-3497
Phone
(619) 428-1000
Fax
(619) 428-1091
NPI assigned
Sep 13, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 61560 CA
Mental Health Counselor 101YM0800X IMF87209 CA
Marriage & Family Therapist 106H00000X IMF87209 CA Primary

Addresses

Primary practice location

1465 30TH St
San Diego, CA 92154-3497

Mailing address

1465 30TH St
San Diego, CA 92154-3497
Phone (619) 428-1000

Other identifiers 1

IdentifierTypeStateIssuer
8544MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2008
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

8150 Memory LN
Unit 110
Rotonda West, FL 33947-2864

8150 Memory LN Unit
Suite 110
Rotonda West, FL 33947-2864

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
IMF87209CAMDMental Health Counselor
61560CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Family Therapy Institute Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1221264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474848000000",
    "number": "1821247966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1465 30TH ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921543497",
            "telephone_number": "619-428-1000",
            "fax_number": "619-428-1091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1465 30TH ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921543497",
            "telephone_number": "619-428-1000",
            "fax_number": "619-428-1091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASIEWICKI",
        "first_name": "TONI",
        "middle_name": "MARIE",
        "credential": "MFTI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-13",
        "last_updated": "2016-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "61560",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "IMF87209",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF87209",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8544",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.