Laura Debaun, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC28361 Issued in CA

Practice address

9667 Highway 29
Suite 202
Lower Lake, CA 95457-1877

Phone

(707) 994-2225

NPI assigned

May 13, 2008

Last updated

May 13, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1210636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210636800000",
    "number": "1083881619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1877",
            "city": "LOWER LAKE",
            "state": "CA",
            "postal_code": "954571877",
            "telephone_number": "707-994-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9667 HIGHWAY 29",
            "address_2": "SUITE 202",
            "city": "LOWER LAKE",
            "state": "CA",
            "postal_code": "954571877",
            "telephone_number": "707-994-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBAUN",
        "first_name": "LAURA",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-13",
        "last_updated": "2008-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC28361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• County of Lake
• County of Lake (Lake County Probation, Lower Lake Office)
• County of Lake
• Lily Cuellar, MS CCC-SLP
• Dennis L. Day, D.C.
• Krissie Deleon
• Kristina Suzette Ervin-Funk, REGISTERED CSW
• Evergreen Team Holdings LLC - Supporting Bright Futures Dba (Freedom REI Homes Corp)
• Melissa Farrell
• Fiedler Chiropractic Inc

• Marriage & Family Therapist in Lower Lake, CA
• Providers in Lower Lake, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.