Individual provider Active NPI

Julie Anne Laser, PHD, LCSW, MSW

  • Mental Health Counselor
  • Wheat Ridge, CO
National Provider Identifier
1124310461
Registry record updated May 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CSW-1607 Issued in CO
Practice address
4891 Independence St Ste 165
Wheat Ridge, CO 80033-6714
Phone
(303) 456-0600
Fax
(303) 456-0607
NPI assigned
May 4, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X CSW-1607 CO Primary
Mental Health Counselor 101YM0800X 6801060455 MI

Addresses

Primary practice location

4891 Independence St Ste 165
Wheat Ridge, CO 80033-6714

Mailing address

4891 Independence St Ste 165
Wheat Ridge, CO 80033-6714
Phone (303) 456-0600

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
CSW-1607COMDMental Health Counselor
6801060455MIMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1304467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304467200000",
    "number": "1124310461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4891 INDEPENDENCE ST STE 165",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800336714",
            "telephone_number": "303-456-0600",
            "fax_number": "303-456-0607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4891 INDEPENDENCE ST STE 165",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800336714",
            "telephone_number": "303-456-0600",
            "fax_number": "303-456-0607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASER",
        "first_name": "JULIE",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "PHD, LCSW, MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-04",
        "last_updated": "2011-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "CSW-1607",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6801060455",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheat Ridge, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2011; 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.