Carlos Manuel Laack, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

114823 Issued in CA

Practice address

5747 Laurel Canyon Blvd Apt 32
Valley Village, CA 91607-1253

Phone

(805) 214-8233

NPI assigned

Aug 15, 2012

Sex

Male

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": "1344988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613606400000",
    "number": "1851649271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 S WAKE FOREST AVE UNIT 3786",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930068039",
            "telephone_number": "805-214-8233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5747 LAUREL CANYON BLVD APT 32",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916071253",
            "telephone_number": "805-214-8233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAACK",
        "first_name": "CARLOS",
        "middle_name": "MANUEL",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-08-15",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "114823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul H Kramer, MD
• Rachel Victoria Krepack
• Margaret Ann Krpan, DC
• Jody Kussin, PH.D.
• Jane Kwon, LMFT
• Andrew Lawrence Lande, LMFT
• Gilian Neiditch Lata, LAC, DIPL OM
• Laurel Canyon Retirement Community, Inc
• Laurel Grove Medical Center Inc
• Paige Elaine Lauren-Taylor, AMFT

• Marriage & Family Therapist in Valley Village, CA
• Providers in Valley Village, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2021; 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.