Active NPI
Laurel Flom, LCMHCA, LCASA
- Mental Health Counselor
- Fayetteville, NC
National Provider Identifier
1033007919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- A21005
- Practice address
- 806 Hay St
Fayetteville, NC 28305-5312 - Phone
- (910) 860-7008
- Fax
- (910) 824-7593
- NPI assigned
- Jun 27, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LCAS-30498 | NC | |
| Mental Health Counselor | 101YM0800X | A21005 | NC | Primary |
Addresses
Primary practice location
806 Hay St
Fayetteville, NC 28305-5312
Mailing address
806 Hay St
Fayetteville, NC 28305-5312
Phone (910) 860-7008
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
| License | State | Type | Specialty |
|---|---|---|---|
| LCAS-30498 | NC | MD | Addiction (Substance Use Disorder) Counselor |
| A21005 | NC | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750982400000",
"number": "1033007919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "806 HAY ST",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283055312",
"telephone_number": "910-860-7008",
"fax_number": "910-824-7593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "806 HAY ST",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283055312",
"telephone_number": "910-860-7008",
"fax_number": "910-824-7593"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLOM",
"first_name": "LAUREL",
"credential": "LCMHCA, LCASA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-06-27",
"last_updated": "2025-06-27",
"certification_date": "2025-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "LCAS-30498",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "A21005",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.