Eddie Duane Lauritsen

Primary specialty

PsychologistTaxonomy code 103T00000X

License

1256 Issued in AZ

Practice address

1141 E Cooley St
Ste E
Show Low, AZ 85901-5103

Phone

(928) 537-0370

Fax

(928) 537-1189

NPI assigned

Sep 20, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ed D Lauritsen Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dressner Counseling Services Inc

  • Clinical Social Worker
  • Phoenix, AZ
  • NPI 1669794558
  NPD (past)
• White Mountain Psychological Services, LTD

  • Clinical Psychologist
  • Lakeside, AZ
  • NPI 1073716395
  NPD (past)

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1023004686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1141 E COOLEY ST",
            "address_2": "STE E",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859015103",
            "telephone_number": "928-537-0370",
            "fax_number": "928-537-1189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1141 E COOLEY ST",
            "address_2": "STE E",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859015103",
            "telephone_number": "928-537-0370",
            "fax_number": "928-537-1189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAURITSEN",
        "first_name": "EDDIE",
        "middle_name": "DUANE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "AZ",
            "license": "1256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ED",
            "last_name": "LAURITSEN",
            "middle_name": "D",
            "credential": "PHD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Chris A Lambert, LPC
• Larson Chiropractic Inc
• Alyson Larson, PMHNP-BC
• James Wade Larson, D.C.
• Susan Elaine Lasala-Wood, DNP FNP-C, RNFA
• Richard Lauritzen, LPC
• Jean M. Lee, D.MIN.
• Left of Bang LCC
• Leon a Driss PC
• Elizabeth Letner, RN

• Psychologist in Show Low, AZ
• Providers in Show Low, AZ by specialty
• Psychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.