MS. LARA FASTMAN LCSW
NPI 1063598803
Counselor - Mental Health in Pleasantville, NY

Q: What is Lara Fastman's NPI number?

The NPI number for Lara Fastman is 1063598803. It was assigned to this individual provider in the NPPES registry on October 27, 2006.

Q: What is Lara Fastman's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: Is Lara Fastman enrolled in Medicare?

No. Lara Fastman has opted out of Medicare through February 13, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Lara Fastman was last updated on December 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 27, 2006Opted out of Medicare · through Feb 13, 2027

343 MANVILLE RD STE 7L, PLEASANTVILLE, NY 10570(914) 572-1723(914) 747-5675 Get Directions Write a Review

NPPES record last updated: December 2, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 2, 2024, Nov 21, 2024 (2 updates tracked since 2024).

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About Ms. Lara Fastman Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. LARA FASTMAN LCSW (NPI 1063598803) is an individual mental health provider in Pleasantville, New York, licensed in New York (070867) and active in the NPI registry since October 2006. She has opted out of Medicare through February 13, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1063598803

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameMS. LARA FASTMANCredential: LCSW

Location Address343 MANVILLE RD STE 7LPleasantville, NY 10570-2154

Mailing Address343 Manville Rd Ste 7lPleasantville, NY 10570-2154 · (914) 572-1723 · Fax (914) 747-5675

Phone(914) 572-1723

Fax(914) 747-5675

Sole ProprietorYes

Enumeration DateOctober 27, 2006

Last NPPES UpdateDecember 2, 20242 updates tracked since enumeration

NPPES CertifiedDecember 2, 2024

✔ NPI 1063598803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in NY · 070867

343 MANVILLE RD STE 7L, Pleasantville, NY 10570

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Ms. Lara Fastman Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 13, 2017 through February 13, 2027.

Opt-Out Effective DateFebruary 13, 2017

Opt-Out In Effect ThroughFebruary 13, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. PAULA JEAN COSTELLA LCSW

Social Worker (Clinical)

343 MANVILLE RD STE 7L
PLEASANTVILLE, NY 10570

Westchester County (914) 391-3563

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lara Fastman's NPI number?

The NPI number for Lara Fastman is 1063598803. It was assigned to this individual provider in the NPPES registry on October 27, 2006.

Where is Lara Fastman located?

Lara Fastman practices at 343 Manville Rd Ste 7L, Pleasantville, NY 10570. The listed phone number is (914) 572-1723.

What is Lara Fastman's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Lara Fastman enrolled in Medicare?

No. Lara Fastman has opted out of Medicare through February 13, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Lara Fastman was last updated on December 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.