Laurie Kidd, PSYD

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH6588 Issued in FL

Practice address

508 Airport Rd Ste E
Panama City, FL 32405-4025

Phone

(850) 832-1075

Fax

(850) 769-2366

NPI assigned

Oct 23, 2006

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Gulf Coast Counseling Services of Bay County

  • Mental Health Counselor
  • Panama City, FL
  • NPI 1720161763
  NPD (past) Authorized official

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124101159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 AIRPORT RD STE E",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054025",
            "telephone_number": "850-832-1075",
            "fax_number": "850-769-2366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 AIRPORT RD STE E",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054025",
            "telephone_number": "850-832-1075",
            "fax_number": "850-769-2366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIDD",
        "first_name": "LAURIE",
        "name_prefix": "Mrs.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH6588",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FL",
            "identifier": "Z035R",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaylyn Marie Khan, ARNP
• Misal Khan, MD
• Alema Khandaker, MD
• Kathy J Kichura, OTR/L
• Grant Adam Kidd, D.O.
• Kevin Gerard Killeen
• Ashley Elizabeth Kilpatrick, PHARMD
• Stephanie Kimbrough
• April Lynn Kimmel, PA-C
• Debbie King

• Mental Health Counselor in Panama City, FL
• Providers in Panama City, FL by specialty
• Mental Health Counselor in Florida

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.