Individual provider Active NPI

Laurie P.. Reed, M.ED., M.S.W.

  • Mental Health Counselor
  • Charlotte, NC
National Provider Identifier
1225081565
Registry record updated Nov 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C000233 Issued in NC
Practice address
1300 Baxter St
Suite 265
Charlotte, NC 28204-3053
Phone
(704) 335-8716
Fax
(704) 335-8717
NPI assigned
May 18, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C000233 NC Primary

Addresses

Primary practice location

1300 Baxter St
Suite 265
Charlotte, NC 28204-3053

Mailing address

1300 Baxter St
Suite 265
Charlotte, NC 28204-3053
Phone (704) 335-8716

Other identifiers 2

IdentifierTypeStateIssuer
60-02080MedicaidNC
036438OtherNCVALUE OPTIONS

Other names 1

  • Ms. Laurie P. Reed Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20111228000022 NC Practitioner - Clinical Social Worker 7416123377 Practice locations: Charlotte, NC

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C000233NCMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320192000000",
    "number": "1225081565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 BAXTER ST",
            "address_2": "SUITE 265",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282043053",
            "telephone_number": "704-335-8716",
            "fax_number": "704-335-8717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 BAXTER ST",
            "address_2": "SUITE 265",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282043053",
            "telephone_number": "704-335-8716",
            "fax_number": "704-335-8717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED",
        "first_name": "LAURIE",
        "middle_name": "P..",
        "name_prefix": "Ms.",
        "credential": "M.ED., M.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-18",
        "last_updated": "2011-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "C000233",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60-02080",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "036438",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURIE",
            "last_name": "REED",
            "middle_name": "P.",
            "prefix": "MS.",
            "credential": "L.C.S.W.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.