Individual provider Active NPI

La'Sandra Mesfin-Cook, LMFT

  • Marriage & Family Therapist
  • Philadelphia, PA
National Provider Identifier
1922828334
Registry record updated Oct 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MF001619 Issued in PA
Practice address
1939 Fairmount Ave Unit 56055
Philadelphia, PA 19130-2041
Phone
(267) 241-2496
NPI assigned
Oct 11, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2024

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 MF001619 PA Primary

Addresses

Primary practice location

1939 Fairmount Ave Unit 56055
Philadelphia, PA 19130-2041

Mailing address

1939 Fairmount Ave Unit 56055
Philadelphia, PA 19130-2041
Phone (267) 241-2496

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20260323002264 PA Practitioner - Marriage and Family Therapist 5799269254 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1415 Fairmount Ave
Suite 241
Philadelphia, PA 19130-2962

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MF001619PAMDMarriage & Family Therapist

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": "1728604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728604800000",
    "number": "1922828334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1939 FAIRMOUNT AVE UNIT 56055",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191302041",
            "telephone_number": "267-241-2496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1939 FAIRMOUNT AVE UNIT 56055",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191302041",
            "telephone_number": "267-241-2496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESFIN-COOK",
        "first_name": "LA'SANDRA",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-11",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "PA",
            "license": "MF001619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.