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LAILA ANSARI
NPI 1932395704
Counselor in San Rafael, CA

Active since September 14, 2007Opted out of Medicare · through Aug 7, 2027
1401 LOS GAMOS DR STE 240, SAN RAFAEL, CA 94903(415) 457-1925 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Jul 21, 2022, Jul 14, 2017 (2 updates tracked since 2017).

About Laila Ansari NPPES

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

LAILA ANSARI (NPI 1932395704) is an individual counselor in San Rafael, California and active in the NPI registry since September 2007. She has opted out of Medicare through August 7, 2027.

NPPES Registry Identity

NPI1932395704
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameLAILA ANSARI
Location Address1401 LOS GAMOS DR STE 240San Rafael, CA 94903-1835
Mailing Address1401 Los Gamos Dr Ste 240San Rafael, CA 94903-1835 · (415) 457-1925
Phone(415) 457-1925
Sole ProprietorNo
Enumeration DateSeptember 14, 2007
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1932395704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
1401 LOS GAMOS DR STE 240, San Rafael, CA 94903
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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

Laila Ansari 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 7, 2023 through August 7, 2027.

Opt-Out Effective DateAugust 7, 2023
Opt-Out In Effect ThroughAugust 7, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 2

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

KERI ANNE KOSTA
Counselor
1401 LOS GAMOS DR STE 240
SAN RAFAEL, CA 94903
Marin County (415) 457-6964
LINDA PENRY IX
Counselor
1401 LOS GAMOS DR STE 240
SAN RAFAEL, CA 94903
Marin County (415) 457-1925

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 Laila Ansari's NPI number?

The NPI number for Laila Ansari is 1932395704. It was assigned to this individual provider in the NPPES registry on September 14, 2007.

Where is Laila Ansari located?

Laila Ansari practices at 1401 Los Gamos Dr Ste 240, San Rafael, CA 94903. The listed phone number is (415) 457-1925.

What is Laila Ansari's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Laila Ansari enrolled in Medicare?

No. Laila Ansari has opted out of Medicare through August 7, 2027. 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 Laila Ansari was last updated on July 21, 2022. 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.