Individual provider Active NPI

Laura Ter Poorten, LMHC

  • Mental Health Counselor
  • Stony Brook, NY
National Provider Identifier
1023066602
Registry record updated Jun 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0701003099 Issued in VA
Practice address
71 Hollow Rd
Stony Brook, NY 11790-1833
Phone
(631) 751-2675
NPI assigned
May 5, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 005849 NY
Mental Health Counselor 101YM0800X 15274 TX
Mental Health Counselor 101YM0800X 0701003099 VA Primary

Addresses

Primary practice location

71 Hollow Rd
Stony Brook, NY 11790-1833

Mailing address

71 Hollow Rd
Stony Brook, NY 11790-1833
Phone (631) 751-2675

Other identifiers 3

IdentifierTypeStateIssuer
216979OtherVAANTHEM
005411173MedicaidVA
07766392MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250716000469 NY Practitioner - Mental Health Counselor 6800301037 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1997
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

71 Hollow Rd
Stony Brook, NY 11790-1833
Phone (631) 751-2675

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15274TXMDMental Health Counselor
0701003099VAMDMental Health Counselor
005849NYMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Laura Ter Poorten Licensed Mental Health Counselor PLLC Mental Health CurrentSince May 11, 2025 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750636800000",
    "number": "1023066602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 HOLLOW RD",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117901833",
            "telephone_number": "631-751-2675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 HOLLOW RD",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117901833",
            "telephone_number": "631-751-2675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TER POORTEN",
        "first_name": "LAURA",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-05",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "005849",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "15274",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701003099",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "216979",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005411173",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07766392",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stony Brook, NY

Sources for this page

Verify at the official NPI Registry.