Individual provider Active NPI

Larissa A Lucas

  • Marriage & Family Therapist
  • Sylmar, CA
National Provider Identifier
1942642343
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT93807 Issued in CA
Practice address
12763 N Watt LN Unit B
Sylmar, CA 91342-4899
Phone
(951) 295-5537
NPI assigned
Jul 25, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2026

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 LMFT93807 CA Primary

Addresses

Primary practice location

12763 N Watt LN Unit B
Sylmar, CA 91342-4899

Mailing address

12763 N Watt LN Unit B
Sylmar, CA 91342-4899
Phone (951) 295-5537

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: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
93807CAMDSocial Worker
LMFT93807CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Behavioral Care of California, P.C. CurrentSince Aug 29, 2024 Accepting new patients
Optum Behavioral Care of California, P.C. CurrentSince Aug 29, 2024 Accepting new patients

Locations

2555 E Colorado Blvd
Ste 101
Pasadena, CA 91107
Phone (909) 898-4055

2555 E Colorado Blvd
Pasadena, CA 91107
Phone (909) 989-4055

8300 Utica Ave
Ste 245
Rancho Cucamonga, CA 91730
Phone (909) 989-4055

Organizations & group practices 2

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": "1374710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780444800000",
    "number": "1942642343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12763 N WATT LN UNIT B",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "913424899",
            "telephone_number": "951-295-5537",
            "fax_number": "951-295-5537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12763 N WATT LN UNIT B",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "913424899",
            "telephone_number": "951-295-5537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCAS",
        "first_name": "LARISSA",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-25",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT93807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylmar, CA

Sources for this page

Verify at the official NPI Registry.