Individual provider Active NPI

Laura Raeunn Marie Harbeson, PHD, LCMHCS, NCC

  • Professional Counselor
  • Albemarle, NC
National Provider Identifier
1124253455
Registry record updated Dec 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
S7373 Issued in NC
Practice address
2620 W Main St
Albemarle, NC 28001-7457
Phone
(980) 581-8144
Fax
(980) 581-8148
NPI assigned
May 15, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X S7373 NC
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X S7373 NC
Pastoral Counselor 101YP1600X S7373 NC
School Counselor 101YS0200X NC
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X S7373 NC Primary

Addresses

Primary practice location

2620 W Main St
Albemarle, NC 28001-7457

Mailing address

2620 W Main St
Albemarle, NC 28001-7457
Phone (980) 581-8144

Other identifiers 1

IdentifierTypeStateIssuer
6104276MedicaidNC

Other names 1

  • Ms. Laura Marie Greenhalgh Former 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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
S7373NCMDPastoral Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Creative Counseling and Learning Solutions, PLLC Mental Health CurrentSince Dec 18, 2022 Accepting new patients
Creative Counseling and Learning Solutions, PLLC. Past Accepting new patients

Locations

2620 W Main St
Albemarle, NC 28001
Phone (980) 581-8144

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1242345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670976000000",
    "number": "1124253455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 W MAIN ST",
            "city": "ALBEMARLE",
            "state": "NC",
            "postal_code": "280017457",
            "telephone_number": "980-581-8144",
            "fax_number": "980-581-8148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 W MAIN ST",
            "city": "ALBEMARLE",
            "state": "NC",
            "postal_code": "280017457",
            "telephone_number": "980-581-8144",
            "fax_number": "980-581-8148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARBESON",
        "first_name": "LAURA",
        "middle_name": "RAEUNN MARIE",
        "name_prefix": "Ms.",
        "credential": "PHD, LCMHCS, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-15",
        "last_updated": "2022-12-14",
        "certification_date": "2021-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "NC",
            "license": "S7373",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "S7373",
            "primary": false
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "NC",
            "license": "S7373",
            "primary": false
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "S7373",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6104276",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "GREENHALGH",
            "middle_name": "MARIE",
            "prefix": "MS.",
            "credential": "LPC, NCC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Albemarle, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2022; 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.