Laurel Ann Light, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

00335 Issued in MN

Practice address

343 Woodlake Dr SE
Rochester, MN 55904-6242

Phone

(507) 535-5609

Fax

(507) 535-5797

NPI assigned

Dec 9, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MN

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Zumbro Valley Health Center

  • Community/Behavioral Health Agency
  • Rochester, MN
  • NPI 1801961263
  Medicare reassignment NPD
• Rochester Therapy Center

  • Marriage & Family Therapist
  • Rochester, MN
  • NPI 1205449303
  NPD (past)

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

{
    "created_epoch": "1228780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629417600000",
    "number": "1043455819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 33RD STREET LN NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559016961",
            "telephone_number": "507-358-4791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "343 WOODLAKE DR SE",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559046242",
            "telephone_number": "507-535-5609",
            "fax_number": "507-535-5797"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "610 Florence Ave",
            "address_purpose": "LOCATION",
            "city": "Owatonna",
            "state": "MN",
            "postal_code": "550604704",
            "country_code": "US",
            "telephone_number": "507-451-2630",
            "fax_number": "507-455-8133",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "420 E Sarnia St Ste 2100",
            "address_purpose": "LOCATION",
            "city": "Winona",
            "state": "MN",
            "postal_code": "559876414",
            "country_code": "US",
            "telephone_number": "507-454-4341",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1530 Greenview Dr SW Ste 113",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "MN",
            "postal_code": "559021080",
            "country_code": "US",
            "telephone_number": "507-926-3033",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIGHT",
        "first_name": "LAUREL",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-09",
        "last_updated": "2021-08-20",
        "certification_date": "2021-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "LPC00664",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "00335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "messagec@direct.schrc.com",
            "affiliation": "N",
            "address_1": "610 Florence Ave",
            "city": "Owatonna",
            "state": "MN",
            "country_code": "US",
            "postal_code": "550604704",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• John C Lieske, M.D.
• Teerin Liewluck, MD
• Lifetime Eye Care of Rochester Inc
• Lifetime Neuro-Vision Therapy Inc.
• Scott Liggett, M.D.
• Deborah J Lightner, M.D.
• Anna Maria Ligocki, MD
• Mariusz Ligocki, M.D.
• Ellen Lilla
• Lynne M Lillie, MD

• Professional Counselor in Rochester, MN
• Providers in Rochester, MN by specialty
• Professional Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.