Individual provider Active NPI

Laura F Boggan, MS NCP

  • Mental Health Counselor
  • Lebanon, TN
National Provider Identifier
1083071203
Registry record updated Jan 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
1432 W Main St
Suite 700
Lebanon, TN 37087-1323
Phone
(615) 444-1880
Fax
(615) 444-7411
NPI assigned
Jan 19, 2016
Last updated
Jan 19, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2016

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 NU Primary

Addresses

Primary practice location

1432 W Main St
Suite 700
Lebanon, TN 37087-1323

Mailing address

1432 W Main St
Suite 700
Lebanon, TN 37087-1323
Phone (615) 444-1880

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
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1453161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453161600000",
    "number": "1083071203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1432 W MAIN ST",
            "address_2": "SUITE 700",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370871323",
            "telephone_number": "615-444-1880",
            "fax_number": "615-444-7411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1432 W MAIN ST",
            "address_2": "SUITE 700",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370871323",
            "telephone_number": "615-444-1880",
            "fax_number": "615-444-7411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGGAN",
        "first_name": "LAURA",
        "middle_name": "F",
        "credential": "MS NCP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-19",
        "last_updated": "2016-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2016; 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.