MEDICARE: LAURA BETH KASPARIAN AMFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	158529	CA
2	106H00000X	Marriage & Family Therapist	AMFT138723	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	AMFT138723	OTHER	CA	BBS

General Provider Information

NPI Number	:	1033814660
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURA BETH KASPARIAN AMFT

Provider Business Mailing Address
First Line	:	3835 N FREEWAY BLVD STE 100
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95834-1954
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7780 N FRESNO ST STE 105
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93720-2413
Country	:	US
Telephone Number	:	855-501-1004
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/03/2023
Last Update Date	:	05/19/2026

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