NPIMap

Organization Active NPI

LDR Counseling, LLC

  • Clinical Psychologist
  • Winter Park, FL
National Provider Identifier
1013252782
Registry record updated Dec 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY7412 Issued in FL
Legal business name
LDR COUNSELING, LLC
Practice address
1215 Louisiana Ave
Suite 100
Winter Park, FL 32789-2344
Phone
(407) 622-0825
Fax
(407) 622-0826
NPI assigned
Dec 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lisa D Rasmussen, PSYD
Title
Licensed Psychologist
Phone
(407) 803-3758

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PY7412 FL Primary

Addresses

Primary practice location

1215 Louisiana Ave
Suite 100
Winter Park, FL 32789-2344

Mailing address

1215 Louisiana Ave
Suite 100
Winter Park, FL 32789-2344
Phone (407) 622-0825

National Provider Directory

National Provider Directory

Locations

1215 Louisiana Ave
Ste 100
Winter Park, FL 32789
Phone (407) 622-0825

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1354752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354752000000",
    "number": "1013252782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 LOUISIANA AVE",
            "address_2": "SUITE 100",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327892344",
            "telephone_number": "407-622-0825",
            "fax_number": "407-622-0826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 LOUISIANA AVE",
            "address_2": "SUITE 100",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327892344",
            "telephone_number": "407-622-0825",
            "fax_number": "407-622-0826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LDR COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-06",
        "last_updated": "2012-12-06",
        "status": "A",
        "authorized_official_last_name": "RASMUSSEN",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "407-803-3758",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY7412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.