Individual provider Active NPI

Laura Landrum, LAC, LSW

  • Addiction (Substance Use Disorder) Counselor
  • Frisco, CO
National Provider Identifier
1164133179
Registry record updated Dec 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
ACD.0002249 Issued in CO
Practice address
409 Main St
Frisco, CO 80443-5929
Phone
(720) 689-5481
NPI assigned
Dec 9, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LSW.0009924318 CO
Addiction (Substance Use Disorder) Counselor 101YA0400X ACD.0002249 CO Primary

Addresses

Primary practice location

409 Main St
Frisco, CO 80443-5929

Mailing address

225 Smith Ranch Rd
Silverthorne, CO 80498-9270
Phone (720) 689-5481

Other practice location 1

360 Peak One Dr
Frisco, CO 80443-5948
Phone (970) 485-6676

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240909001224 CO Practitioner - Clinical Social Worker 1951840800 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

106 N French St
Suite 210 4
Breckenridge, CO 80424-5690
Phone (720) 689-5481

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ACD.0002249COMDAddiction (Substance Use Disorder) Counselor
LSW.0009924318COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Nurturing Wellness PLLC Addiction (Substance Use Disorder) CurrentSince Jul 8, 2024 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1670544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703116800000",
    "number": "1164133179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 SMITH RANCH RD",
            "city": "SILVERTHORNE",
            "state": "CO",
            "postal_code": "804989270",
            "telephone_number": "720-689-5481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 MAIN ST",
            "city": "FRISCO",
            "state": "CO",
            "postal_code": "804435929",
            "telephone_number": "720-689-5481"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "360 Peak One Dr",
            "address_purpose": "LOCATION",
            "city": "Frisco",
            "state": "CO",
            "postal_code": "804435948",
            "country_code": "US",
            "telephone_number": "970-485-6676",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANDRUM",
        "first_name": "LAURA",
        "credential": "LAC, LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-09",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "LSW.0009924318",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "ACD.0002249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, CO

Sources for this page

Verify at the official NPI Registry.