Individual provider Active NPI

Jonathan Andrew Laski

  • Marriage & Family Therapist
  • Fullerton, CA
National Provider Identifier
1841838406
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
153289 Issued in CA
Practice address
1501 E Orangethorpe Ave Ste 200
Fullerton, CA 92831-5205
Phone
(714) 254-8473
Fax
(714) 254-8480
NPI assigned
Dec 13, 2019
Last updated
Feb 19, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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 153289 CA Primary

Addresses

Primary practice location

1501 E Orangethorpe Ave Ste 200
Fullerton, CA 92831-5205

Mailing address

1501 E Orangethorpe Ave Ste 200
Fullerton, CA 92831-5205
Phone (714) 254-8473

Other practice location 1

711 E Ball Rd Ste 201
Anaheim, CA 92805-5925
Phone (714) 254-8473

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

LicenseStateTypeSpecialty
153289CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
A Renewing Hope Therapy Mental Health CurrentSince Mar 11, 2025 Accepting new patients
Pathways Community Services LLC CurrentSince Apr 21, 2024 Accepting new patients
Clarvida PastSince Apr 14, 2024 Accepting new patients

Locations

711 E Ball Rd
Ste 201
Anaheim, CA 92805
Phone (714) 254-8473

1501 E Orangethorpe Ave
Ste 200
Fullerton, CA 92831
Phone (714) 254-8473

1501 Westcliff Dr
Ste 290
Newport Beach, CA 92660
Phone (949) 371-5315

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": "1576195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1841838406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 E ORANGETHORPE AVE STE 200",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928315205",
            "telephone_number": "714-254-8473",
            "fax_number": "714-254-8480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 E ORANGETHORPE AVE STE 200",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928315205",
            "telephone_number": "714-254-8473",
            "fax_number": "714-254-8480"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "711 E Ball Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Anaheim",
            "state": "CA",
            "postal_code": "928055925",
            "country_code": "US",
            "telephone_number": "714-254-8473",
            "fax_number": "714-254-8480",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LASKI",
        "first_name": "JONATHAN ANDREW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-13",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "153289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fullerton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.

Verify at the official NPI Registry.