Taylor Renee Lauridsen

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

649 Story St
Nipomo, CA 93444-9180

Phone

(805) 264-3717

NPI assigned

Apr 10, 2018

Sex

Female

Sole proprietor

No

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

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1523318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603324800000",
    "number": "1104323682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "649 STORY ST",
            "city": "NIPOMO",
            "state": "CA",
            "postal_code": "934449180",
            "telephone_number": "805-264-3717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "649 STORY ST",
            "city": "NIPOMO",
            "state": "CA",
            "postal_code": "934449180",
            "telephone_number": "805-264-3717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAURIDSEN",
        "first_name": "TAYLOR",
        "middle_name": "RENEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-10",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kassandra Boortz, LMFT, LLC
• Anna Belle Kim, M.D.
• Bo Ram Kim, REGISTERED PHARMACIS
• Patricia Kimmel
• Nancy Ellen Kitson, MD
• Sonia Patricia Lazaro, DMD
• Henry Lee, M.D
• Janghwan Lee, RPH
• Patricia Anne Lipscomb, M.D., PH.D.
• Raj Bhupendra Lotwala, DDS

• Mental Health Counselor in Nipomo, CA
• Providers in Nipomo, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2020; 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.