Laura J. Herrick

Primary specialty

CounselorTaxonomy code 101Y00000X

License

6515 Issued in NC

Practice address

3560 Valiant Ave SW
Concord, NC 28027-2708

Phone

(704) 721-0218

NPI assigned

Mar 28, 2007

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

Other names 1

• Mrs. Laura K. Jenkins Former name

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Walgren Counseling, PLLCGroup PAC ID 9638348857, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Walgren Counseling, PLLC

  • Clinical Social Worker
  • Matthews, NC
  • NPI 1235422742
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104945245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3560 VALIANT AVE SW",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280272708",
            "telephone_number": "704-721-0218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3560 VALIANT AVE SW",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280272708",
            "telephone_number": "704-721-0218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRICK",
        "first_name": "LAURA",
        "middle_name": "J.",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NC",
            "license": "6515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "JENKINS",
            "middle_name": "K.",
            "prefix": "MRS.",
            "credential": "M.ED., LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Allison McGowan Hermans, COTA/L
• Julia Anne Hermansen, BCBA, LBA
• Sylvia Hernandez, OD
• Yulissa Moran Hernandez, MSW, LCSWA
• Jessica Herrera
• Thomas Herrick, RPH
• Brockford D. Herring, DO
• Kailyn Overcash Herring, LAT, ATC
• Caitlen Cheyenne Herron
• Jada K. Hewitt, FNP

• Counselor in Concord, NC
• Providers in Concord, NC by specialty
• Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.