Larissa Pasut, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

103871 Issued in CA

Practice address

901 Campisi Way
Campbell, CA 95008-2339

Phone

(408) 337-2889

NPI assigned

Jun 20, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Larissa Fellenz Former name

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.

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1560988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705536000000",
    "number": "1982264925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 VALENCIA RD",
            "city": "APTOS",
            "state": "CA",
            "postal_code": "950039761",
            "telephone_number": "408-375-7582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 CAMPISI WAY",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950082339",
            "telephone_number": "408-337-2889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASUT",
        "first_name": "LARISSA",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-20",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "103871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LARISSA",
            "last_name": "FELLENZ",
            "credential": "LMFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alejandra Paredes
• Parental Zen LLC
• Jana Parker, LEP, ABSNP
• Jess Cosmos Parmenter
• James Pascua
• Sakina Aliasgar Patanwala
• Anjlee Patel, SLP, ED.M.
• Asmita Patel, MD
• Hetal Arpit Patel, RPH
• Kunal Patel, PT297769

• Marriage & Family Therapist in Campbell, CA
• Providers in Campbell, 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 Jan 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.