Active NPI
Laura Herron, PHD
- Clinical Psychologist
- Charlottesville, VA
National Provider Identifier
1164064903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY1001531
- Practice address
- 100 E South St Ste 5B
Charlottesville, VA 22902-5217 - Phone
- (434) 971-4747
- NPI assigned
- Oct 14, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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.
-
- Counseling Psychologist
- Washington, DC
- NPI 1821344565
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Dec 18, 2025 through Dec 18, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY1001531 | DC | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| District Therapeutics and Consulting, LLC | Past | Accepting new patients |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY1001531 | DC | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
100 E South St Ste 5B
Charlottesville, VA 22902-5217
Mailing address
100 E South St Ste 5B
Charlottesville, VA 22902-5217
Other practice location 1
1350 Connecticut Ave NW Ste 825
Washington, DC 20036-1741
Phone (202) 986-5941
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 21, 2024.
{
"created_epoch": "1571011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729468800000",
"number": "1164064903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 E SOUTH ST STE 5B",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229025217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 E SOUTH ST STE 5B",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229025217",
"telephone_number": "434-971-4747"
}
],
"practiceLocations": [
{
"address_1": "1350 Connecticut Ave NW Ste 825",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200361741",
"country_code": "US",
"telephone_number": "202-986-5941",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HERRON",
"first_name": "LAURA",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-14",
"last_updated": "2024-10-21",
"certification_date": "2024-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "DC",
"license": "PSY1001531",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlottesville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.