Laura M Kubat, PHD

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH7747 Issued in FL

Practice address

2699 Stirling Rd
B-304
Fort Lauderdale, FL 33312-6517

Phone

(954) 336-3512

NPI assigned

Jan 11, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Dr. Laura M Kubat, Inc.

  • Community/Behavioral Health Agency
  • Plantation, FL
  • NPI 1497131338
  NPD (past) Authorized official
• Life Renewing Therapeutic Center, Inc.

  • Mental Health Counselor
  • Fort Lauderdale, FL
  • NPI 1609169119
  NPD (past) Authorized official

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

{
    "created_epoch": "1200009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315612800000",
    "number": "1174709828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 SW 66TH TER",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333175131",
            "telephone_number": "954-336-3512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2699 STIRLING RD",
            "address_2": "B-304",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333126517",
            "telephone_number": "954-336-3512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUBAT",
        "first_name": "LAURA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-11",
        "last_updated": "2011-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH7747",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "1196908",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003104400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MENTAL HEALTH LICENSURE",
            "identifier": "MH7747",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dana Marie Kromke, MS
• Henry W Kronner, PH.D.
• Marshall R. Krug, BA, LMT, NCTMB
• Ikna Krysiak, D.O.
• Fairley Ann Lennor Gariando Kua, RPT
• Judith A Kuchta
• Elizabeth Kudelka, AU.D.
• Essie Kueberuwa Yates, MD
• Caroline Laura Kuehn, LMHC
• John Kula, RN

• Mental Health Counselor in Fort Lauderdale, FL
• Providers in Fort Lauderdale, 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 Sep 10, 2011; 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.