Caitlin Laurence

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH19603 Issued in FL

Practice address

1543 Kingsley Ave Ste 18a
Orange Park, FL 32073-4568

Phone

(904) 269-3324

Fax

(904) 264-2302

NPI assigned

Aug 23, 2021

Sex

Female

Sole proprietor

No

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

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.

• Krop-Neidigh PA

  • Psychologist
  • Orange Park, FL
  • NPI 1225197544
  NPD
• Krop & Neidigh

  • Clinical Psychologist
  • Orange Park, FL
  • NPI 1295700029
  NPD (past)

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

{
    "created_epoch": "1629676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629676800000",
    "number": "1154097707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1543 KINGSLEY AVE STE 18A",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734568",
            "telephone_number": "904-269-3324",
            "fax_number": "904-264-2302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1543 KINGSLEY AVE STE 18A",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734568",
            "telephone_number": "904-269-3324",
            "fax_number": "904-264-2302"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2211 Park St",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322044315",
            "country_code": "US",
            "telephone_number": "904-384-7575",
            "fax_number": "904-386-7636",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAURENCE",
        "first_name": "CAITLIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-23",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH19603",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "MH19603",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary St. John Larson, LMT,CMTPT
• Zachary Larson, LMHC
• Paul M. Lasala, C.O.T.A
• Junior Lashley
• Timothy A Lattimore, NURSE PRACTITIONER
• Adele Lavasseur, LMT
• James Lavin, PTA
• Whitney E. Law, PA
• Alexandra Lawlor, DO, MPH
• Ashley R Lawlor

• Mental Health Counselor in Orange Park, FL
• Providers in Orange Park, 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 Aug 23, 2021; 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.