ANDROMEDA LASCANO
NPI 1245752575
Marriage & Family Therapist in Modesto, CA

Q: What is Andromeda Lascano's NPI number?

The NPI number for Andromeda Lascano is 1245752575. It was assigned to this individual provider in the NPPES registry on July 7, 2017.

Q: What is Andromeda Lascano's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Andromeda Lascano was last updated on December 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since July 07, 2017PECOS EnrolledAccepts Medicare Assignment

3425 COFFEE RD STE A2, MODESTO, CA 95355(209) 524-9401(209) 491-7584 Get Directions Write a Review

NPPES record last updated: December 28, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 31, 2018, Jul 7, 2017 (2 updates tracked since 2017).

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About Andromeda Lascano NPPES

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

ANDROMEDA LASCANO (NPI 1245752575) is an individual marriage & family therapist in Modesto, California, licensed in California (LMFT133104) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Modesto, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1245752575

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameANDROMEDA LASCANO

Location Address3425 COFFEE RD STE A2Modesto, CA 95355-1582

Mailing Address3425 Coffee Rd Ste A2Modesto, CA 95355-1582 · (209) 524-9401 · Fax (209) 491-7584

Phone(209) 524-9401

Fax(209) 491-7584

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateJuly 7, 2017

Last NPPES UpdateDecember 28, 20232 updates tracked since enumeration

NPPES CertifiedDecember 28, 2023

✔ NPI 1245752575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · LMFT133104

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.

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X

3425 COFFEE RD STE A2, Modesto, CA 95355

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Secondary Practice Location 1

Location 12000 W Briggsmore Ave Ste IModesto, CA 95350 · Phone (209) 526-1476 · Fax (209) 526-0908

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Andromeda Lascano is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4284085697

PECOS Enrollment IDI20240110003171

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 8

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

ANTOUN C. MANGANAS M.D.

Psychiatry & Neurology (Psychiatry)