CONSTANCE ANN D'AMBROSIO LMFT
NPI 1104650043
Marriage & Family Therapist in Lafayette, CA

Active since August 30, 2024Opted out of Medicare · through Aug 12, 2026
954 RISA RD STE A, LAFAYETTE, CA 94549(510) 299-5436 Get Directions Write a Review

NPPES record last updated: August 30, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Constance Ann D'ambrosio Lmft NPPES

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

CONSTANCE ANN D'AMBROSIO LMFT (NPI 1104650043) is an individual marriage & family therapist in Lafayette, California, licensed in California (CA35558) and active in the NPI registry since August 2024. She has opted out of Medicare through August 12, 2026.

NPPES Registry Identity

NPI1104650043
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameCONSTANCE ANN D'AMBROSIOCredential: LMFT
Location Address954 RISA RD STE ALafayette, CA 94549-3418
Mailing Address2959 Carlsen StOakland, CA 94602-3444 · (510) 299-5436
Sole ProprietorYes
Enumeration DateAugust 30, 2024
NPPES CertifiedAugust 30, 2024
NPI 1104650043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License Licensed in CA · CA35558
Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

954 RISA RD STE A, Lafayette, CA 94549

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Constance Ann D'ambrosio Lmft 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 August 12, 2024 through August 12, 2026.

Opt-Out Effective DateAugust 12, 2024
Opt-Out In Effect ThroughAugust 12, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 11

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

Marriage & Family Therapist
954 RISA RD STE A
LAFAYETTE, CA 94549
Psychologist (Counseling)
954 RISA RD STE A
LAFAYETTE, CA 94549
Marriage & Family Therapist
954 RISA RD STE A
LAFAYETTE, CA 94549
Marriage & Family Therapist
954 RISA RD STE A
LAFAYETTE, CA 94549
Psychologist
954 RISA RD STE A
LAFAYETTE, CA 94549
Marriage & Family Therapist
954 RISA RD STE A
LAFAYETTE, CA 94549
Psychiatry & Neurology (Child & Adolescent Psychiatry)
954 RISA RD STE A
LAFAYETTE, CA 94549
Marriage & Family Therapist
954 RISA RD STE A
LAFAYETTE, CA 94549

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 Constance D'ambrosio's NPI number?

The NPI number for Constance D'ambrosio is 1104650043. It was assigned to this individual provider in the NPPES registry on August 30, 2024.

Where is Constance D'ambrosio located?

Constance D'ambrosio practices at 954 Risa Rd Ste A, Lafayette, CA 94549. The listed phone number is (510) 299-5436.

What is Constance D'ambrosio's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Constance D'ambrosio enrolled in Medicare?

No. Constance D'ambrosio has opted out of Medicare through August 12, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Constance D'ambrosio was last updated on August 30, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.