Laurel Lee Vanbeuzekom, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

T0440 Issued in OR

Practice address

1299 NW Ellan St Ste 3
Roseburg, OR 97470-2031

Phone

(541) 580-7893

Fax

(541) 957-0191

NPI assigned

Dec 6, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466640000000",
    "number": "1144389354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3167 W LORRAINE AVE",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974712439",
            "telephone_number": "541-580-7893",
            "fax_number": "541-957-0191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1299 NW ELLAN ST STE 3",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974702031",
            "telephone_number": "541-580-7893",
            "fax_number": "541-957-0191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANBEUZEKOM",
        "first_name": "LAUREL",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2016-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OR",
            "license": "T0440",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "T0440",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "165772",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500688893",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Valley View Mental Health Services, Inc (Valley View Counseling)
• Germaine Ann Van Anrooy, RN
• Eden Van Bloem, R.N.
• Frederic J Van Dis, MD
• Lexa Van Volkenburg, OD
• David E Vancott, LPC
• Courtney Vanpelt
• Robert Earl Varner, D.M.D.
• Fernando Velasquez, DMD
• Isabel Gabriela Verduzco, QMHA-R

• Marriage & Family Therapist in Roseburg, OR
• Providers in Roseburg, OR by specialty
• Marriage & Family Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2016; 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.