Individual provider Active NPI

Laura Donnelly, MA, LPCC

  • Professional Counselor
  • Lancaster, OH
National Provider Identifier
1174088710
Registry record updated Sep 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E.2203117 Issued in OH
Practice address
106 Starret St Ste 100
Lancaster, OH 43130-3993
Phone
(740) 687-0042
NPI assigned
Feb 7, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2022

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 C.2002922 OH
Community/Behavioral Health Agency 251S00000X
Student in an Organized Health Care Education/Training Program 390200000X
Professional Counselor 101YP2500X E.2203117 OH Primary

Addresses

Primary practice location

106 Starret St Ste 100
Lancaster, OH 43130-3993

Mailing address

624 E Main St
Lancaster, OH 43130-3903
Phone (740) 417-9265

Other practice location 1

2525 Tiller Ln Ste 110
Columbus, OH 43231-2267
Phone (614) 305-5151 ext. 110

Other practice location 2

2525 Tiller Ln Ste 110
Columbus, OH 43231
Phone (614) 305-5151 ext. 110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
C.2002922OHMDProfessional Counselor
E.2203117OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Ohio Psychological Services Inc Community/Behavioral Health CurrentSince Sep 25, 2022 Accepting new patients
New Albany Home Health Solutions, LLC. PastSince Feb 1, 2021 Accepting new patients

Locations

624 E Main St
Lancaster, OH 43130
Phone (740) 475-0488

106 Starret St
Ste 100
Lancaster, OH 43130
Phone (740) 687-0042

Organizations & group practices 2

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": "1549497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663545600000",
    "number": "1174088710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 E MAIN ST",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431303903",
            "telephone_number": "740-417-9265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 STARRET ST STE 100",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431303993",
            "telephone_number": "740-687-0042"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2525 Tiller Ln Ste 110",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432312267",
            "country_code": "US",
            "telephone_number": "614-305-5151 x110",
            "fax_number": "614-283-5084",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2525 Tiller Ln Ste 110",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "43231",
            "country_code": "US",
            "telephone_number": "614-305-5151 x110",
            "fax_number": "614-283-5084",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DONNELLY",
        "first_name": "LAURA",
        "credential": "MA, LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-07",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "C.2002922",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.2203117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, OH

Sources for this page

Verify at the official NPI Registry.