Individual provider Active NPI

Laura Lynn Greenlee, PHD, NCC, LPCS

  • Psychologist
  • Austin, TX
National Provider Identifier
1164510368
Registry record updated Dec 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
37792 Issued in TX
Practice address
211 E 7TH St Ste 620
Austin, TX 78701-3218
Phone
(800) 370-3651
NPI assigned
Oct 11, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2018

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC001973 PA
Professional Counselor 101YP2500X 5402 NC
Professional Counselor 101YP2500X 85402 NC
Psychologist 103T00000X 37792 TX Primary

Addresses

Primary practice location

211 E 7TH St Ste 620
Austin, TX 78701-3218

Mailing address

208 Coachman'S Court
Asheville, NC 28803-2018
Phone (828) 772-5740

Other practice location 1

12 1/2 Wall Street, Ste N
Asheville, NC 28801-1308
Phone (828) 772-5740

Other identifiers 1

IdentifierTypeStateIssuer
1164510368MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20190107001194 TX Practitioner - Clinical Psychologist 0547506974 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sondermind Provider Network LLCGroup PAC ID 9537572490, 1,295 clinicians

Practice addresses (Care Compare)

2021 Guadalupe St
Suite 260
Austin, TX 78705-5654
Phone (866) 630-0966

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
85402NCMDProfessional Counselor
PC001973PAMDProfessional Counselor
37792TXMDCritical Care Pharmacist
5402NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sondermind Provider Network LLC Professional CurrentSince Dec 9, 2021 Accepting new patients
Deer Oaks Geriatric Services P C CurrentSince Apr 19, 2021 Accepting new patients
Deer Oaks Mental Health Associates PC Past Accepting new patients

Locations

3759 Valley View Rd
Austin, TX 78704
Phone (512) 443-3436

2021 Guadalupe St
Ste 260
Austin, TX 78705
Phone (202) 932-9958

7272 Wurzbach Rd
Ste 706
San Antonio, TX 78240
Phone (210) 615-3401

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544572800000",
    "number": "1164510368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 COACHMAN'S COURT",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288032018",
            "telephone_number": "828-772-5740",
            "fax_number": "828-575-2064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 E 7TH ST STE 620",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787013218",
            "telephone_number": "800-370-3651"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12 1/2 Wall Street, Ste N",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288011308",
            "country_code": "US",
            "telephone_number": "828-772-5740",
            "fax_number": "828-575-2064",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREENLEE",
        "first_name": "LAURA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "PHD, NCC, LPCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2018-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC001973",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "5402",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "85402",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "37792",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1164510368",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.