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

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: October 25, 2026.

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

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Andromeda Lascano reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sutter Valley Medical Foundation
2.4 mi
Multi-Specialty
600 COFFEE RD
Modesto, CA 95355
  • Reassigned Medicare billing, California enrollment
  • 3,056 clinicians in this Medicare group
NPI 1669846986 (209) 524-1211

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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)
3425 COFFEE RD STE A2
MODESTO, CA 95355
Stanislaus County (209) 491-7584
MR. RONALD GENE GILBERT LMFT
Marriage & Family Therapist
3425 COFFEE RD STE A2
MODESTO, CA 95355
Stanislaus County (209) 524-9401
DR. ROSA PEVERINI MD
Psychiatry & Neurology (Psychiatry)
3425 COFFEE RD STE A2
MODESTO, CA 95355
Stanislaus County (209) 524-9401
LINDSEY JOY NIELSEN PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
3425 COFFEE RD STE A2
MODESTO, CA 95355
Stanislaus County (209) 524-9401
GERA ANDERSON
Psychologist (Clinical)
3425 COFFEE RD STE A2
MODESTO, CA 95355
Stanislaus County (209) 491-7507
VALERIE KRISTINE SEAGLE MFT-I
Marriage & Family Therapist
3425 COFFEE RD STE A2
MODESTO, CA 95355
Stanislaus County (209) 524-9401
MS. SARAH ASHLEY WEEKS PA-C
Physician Assistant
3425 COFFEE RD STE A2
MODESTO, CA 95355
Stanislaus County (209) 524-9401
JESSICA MARIE QUIAMBAO LMFT
Marriage & Family Therapist
3425 COFFEE RD STE A2
MODESTO, CA 95355
Stanislaus County (209) 524-9401

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 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.

Where is Andromeda Lascano located?

Andromeda Lascano practices at 3425 Coffee Rd Ste A2, Modesto, CA 95355. The listed phone number is (209) 524-9401.

What is Andromeda Lascano's specialty?

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

Is Andromeda Lascano enrolled in Medicare?

Yes. Andromeda Lascano is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Andromeda Lascano's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andromeda Lascano reassigns Medicare benefits to Sutter Valley Medical Foundation (Modesto, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Andromeda Lascano's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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.