Individual provider Active NPI

Laurie A Millard, LIMHP, CPC

  • Mental Health Counselor
  • Norfolk, NE
National Provider Identifier
1104832393
Registry record updated Oct 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
144 Issued in NE
Practice address
200 North 34TH St
Norfolk, NE 68702-2315
Phone
(402) 371-3044
Fax
(402) 371-9643
NPI assigned
Jul 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 1001 NE
Marriage & Family Therapist 106H00000X 1599 NE
Mental Health Counselor 101YM0800X 144 NE Primary

Addresses

Primary practice location

200 North 34TH St
Norfolk, NE 68702-2315

Mailing address

PO Box 2315
200 North 34TH St
Norfolk, NE 68702-2315
Phone (402) 371-3044

Other identifiers 3

IdentifierTypeStateIssuer
47083165927MedicaidNE
47083165926MedicaidNE
84186OtherNEBCBS

Other names 1

  • Ms. Laurie A Buchholz Other name

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
144NEMDMental Health Counselor
1599NEMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446076800000",
    "number": "1104832393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2315",
            "address_2": "200 NORTH 34TH ST",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687022315",
            "telephone_number": "402-371-3044",
            "fax_number": "402-371-9643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 NORTH 34TH ST",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687022315",
            "telephone_number": "402-371-3044",
            "fax_number": "402-371-9643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLARD",
        "first_name": "LAURIE",
        "middle_name": "A",
        "credential": "LIMHP, CPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2015-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NE",
            "license": "1001",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NE",
            "license": "1599",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "144",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47083165927",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47083165926",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "84186",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURIE",
            "last_name": "BUCHHOLZ",
            "middle_name": "A",
            "prefix": "MS.",
            "credential": "LIMHP, CPC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Norfolk, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2015; 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.