Individual provider Active NPI

Laurin Nicole Von Krueger

  • Mental Health Counselor
  • Las Vegas, NV
National Provider Identifier
1023940731
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CI5727 Issued in NV
Practice address
4880 W University Ave Ste B2
Las Vegas, NV 89103-3830
Phone
(702) 660-5943
Fax
(725) 251-2409
NPI assigned
May 29, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X CI5727 NV Primary

Addresses

Primary practice location

4880 W University Ave Ste B2
Las Vegas, NV 89103-3830

Mailing address

2760 Tyndrum Ave
Henderson, NV 89044-8769
Phone (702) 378-9587

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CI5727NVMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Healing Counseling LLC Mental Health PastSince Aug 6, 2023 Accepting new patients
Mindful Healing Counseling LLC PastSince Jul 13, 2025 Accepting new patients

Organizations & group practices 2

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": "1780012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780358400000",
    "number": "1023940731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2760 TYNDRUM AVE",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890448769",
            "telephone_number": "702-378-9587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4880 W UNIVERSITY AVE STE B2",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891033830",
            "telephone_number": "702-660-5943",
            "fax_number": "725-251-2409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VON KRUEGER",
        "first_name": "LAURIN",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-05-29",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NV",
            "license": "CI5727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.