Individual provider Active NPI

Lauryn Ann Reckner, LPCA

  • Mental Health Counselor
  • Walton, KY
National Provider Identifier
1053019802
Registry record updated Feb 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
279643 Issued in KY
Practice address
1079 Camin LN
Walton, KY 41094-7507
Phone
(859) 835-5903
NPI assigned
Feb 21, 2023
Sex
Female
Sole proprietor
Yes

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
279643KYMDMental Health Counselor

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 279643 KY Primary

Addresses

NPPES NPI Registry

Primary practice location

1079 Camin LN
Walton, KY 41094-7507

Mailing address

1079 Camin LN
Walton, KY 41094-7507
Phone (859) 835-5903

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 21, 2023.

{
    "created_epoch": "1676937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676937600000",
    "number": "1053019802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1079 CAMIN LN",
            "city": "WALTON",
            "state": "KY",
            "postal_code": "410947507",
            "telephone_number": "859-835-5903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1079 CAMIN LN",
            "city": "WALTON",
            "state": "KY",
            "postal_code": "410947507",
            "telephone_number": "859-835-5903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RECKNER",
        "first_name": "LAURYN",
        "middle_name": "ANN",
        "name_prefix": "Miss",
        "credential": "LPCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-21",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "279643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walton, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2023; 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.