Active NPI
Katherine Lynn Lautzenheiser, LCSWA
- Mental Health Counselor
- Burlington, NC
National Provider Identifier
1184984866
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 1205 S Main St
Burlington, NC 27215-5762 - Phone
- (336) 684-9951
- NPI assigned
- May 29, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | P023143 | NC | |
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
1205 S Main St
Burlington, NC 27215-5762
Mailing address
1205 S Main St
Burlington, NC 27215-5762
Phone (336) 684-9951
Other names 1
- Ms. Katherine Fosdahl
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P023143 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mha | Mental Health | Past | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773014400000",
"number": "1184984866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1205 S MAIN ST",
"city": "BURLINGTON",
"state": "NC",
"postal_code": "272155762",
"telephone_number": "336-684-9951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1205 S MAIN ST",
"city": "BURLINGTON",
"state": "NC",
"postal_code": "272155762",
"telephone_number": "336-684-9951"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAUTZENHEISER",
"first_name": "KATHERINE",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "LCSWA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-05-29",
"last_updated": "2026-03-09",
"certification_date": "2026-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "P023143",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATHERINE",
"last_name": "FOSDAHL",
"prefix": "MS.",
"credential": "LCSWA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Burlington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.