LAURA DESANTIS M.PHIL.ED.
NPI 1174923387
Counselor - Professional in San Francisco, CA

Active since August 26, 2014Opted out of Medicare · through Jan 1, 2028
655 MONTGOMERY STREET, STE 490, DPT#17076, SAN FRANCISCO, CA 94111(415) 376-7385 Get Directions Write a Review

NPPES record last updated: October 21, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 21, 2021, Apr 23, 2021, Jan 11, 2020 (3 updates tracked since 2020).

About Laura Desantis M.phil.ed. NPPES

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

LAURA DESANTIS M.PHIL.ED. (NPI 1174923387) is an individual professional provider in San Francisco, California, licensed in California (PCC5453) and active in the NPI registry since August 2014. She has opted out of Medicare through January 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1174923387
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameLAURA DESANTISCredential: M.PHIL.ED.
Location Address655 MONTGOMERY STREET, STE 490, DPT#17076San Francisco, CA 94111
Mailing Address655 Montgomery Street, Ste 490, Dpt#17076San Francisco, CA 94111 · (415) 935-0947
Sole ProprietorNo
Enumeration DateAugust 26, 2014
Last NPPES UpdateOctober 21, 20213 updates tracked since enumeration
NPPES CertifiedOctober 18, 2021
NPI 1174923387 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in CA · PCC5453
655 MONTGOMERY STREET, STE 490, San Francisco, CA 94111

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Laura Desantis M.phil.ed. 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 January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-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.

Clinic/Center (Adult Mental Health)
655 MONTGOMERY STREET, STE 490, DPT#17076
SAN FRANCISCO, CA 94111

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 Laura Desantis's NPI number?

The NPI number for Laura Desantis is 1174923387. It was assigned to this individual provider in the NPPES registry on August 26, 2014.

Where is Laura Desantis located?

Laura Desantis practices at 655 Montgomery Street, Ste 490 Dpt#17076, San Francisco, CA 94111. The listed phone number is (415) 376-7385.

What is Laura Desantis's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Laura Desantis enrolled in Medicare?

No. Laura Desantis has opted out of Medicare through January 1, 2028. 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 Laura Desantis was last updated on October 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.