AMANDA GRACE LAZO QAQISH LMFT, PPS
NPI 1972991958
Marriage & Family Therapist in Loma Linda, CA
About Amanda Grace Lazo Qaqish Lmft, Pps NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMANDA GRACE LAZO QAQISH LMFT, PPS (NPI 1972991958) is an individual marriage & family therapist in Loma Linda, California, licensed in California (102948) and active in the NPI registry since December 2014. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Amanda Grace Lazo Qaqish Lmft, Pps is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Amanda Grace Qaqish reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Los Angeles, CA 90029
- Reassigned Medicare billing, California enrollment
- 104 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Amanda Grace Qaqish's NPI number?
The NPI number for Amanda Grace Qaqish is 1972991958. It was assigned to this individual provider in the NPPES registry on December 29, 2014.
Where is Amanda Grace Qaqish located?
Amanda Grace Qaqish practices at 26087 Arroyo Ln, Loma Linda, CA 92354. The listed phone number is (626) 827-2218.
What is Amanda Grace Qaqish's specialty?
The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.
Is Amanda Grace Qaqish enrolled in Medicare?
Yes. Amanda Grace Qaqish is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Amanda Grace Qaqish's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Grace Qaqish reassigns Medicare benefits to Silver Lake Psychology Inc. (Los Angeles, 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 Amanda Grace Qaqish'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 Amanda Grace Qaqish was last updated on May 15, 2024. 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.
# Amanda Grace Lazo Qaqish, LMFT, PPS · NPI 1972991958
Marriage & Family Therapist provider in Loma Linda, California. Individual provider, active in the CMS NPPES registry since December 29, 2014.
## Identity
- **NPI:** 1972991958 (Entity type: Individual)
- **Enumerated:** December 29, 2014
- **Primary specialty:** Marriage & Family Therapist · taxonomy 106H00000X
- **State license:** 102948 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 26087 ARROYO LN, Loma Linda, CA 92354-6520
- **Phone:** (626) 827-2218
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Silver Lake Psychology Inc. (NPI 1932651817, Los Angeles, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 15, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1972991958) · Data from the CMS NPPES public registry.