Active NPI
Laurie A Nelson, LCPC
- Mental Health Counselor
- Draper, UT
National Provider Identifier
1225248636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 10542096-6004
- Practice address
- 15419 S Eagle Crest Dr
Draper, UT 84020-5708 - Phone
- (240) 426-2528
- NPI assigned
- May 23, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 006142 | MD | |
| Mental Health Counselor | 101YM0800X | 10542096-6004 | UT | Primary |
Addresses
Primary practice location
15419 S Eagle Crest Dr
Draper, UT 84020-5708
Mailing address
15419 S Eagle Crest Dr
Draper, UT 84020-5708
Phone (240) 426-2528
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| M326 | Other | MD | PROFESSIONAL PROVIDER |
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 |
|---|---|---|---|
| 10542096-6004 | UT | MD | Mental Health Counselor |
| 006142 | MD | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741478400000",
"number": "1225248636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15419 S EAGLE CREST DR",
"city": "DRAPER",
"state": "UT",
"postal_code": "840205708",
"telephone_number": "240-426-2528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15419 S EAGLE CREST DR",
"city": "DRAPER",
"state": "UT",
"postal_code": "840205708",
"telephone_number": "240-426-2528"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "LAURIE",
"middle_name": "A",
"name_prefix": "Ms.",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-23",
"last_updated": "2025-03-09",
"certification_date": "2025-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "006142",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "UT",
"license": "10542096-6004",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROFESSIONAL PROVIDER",
"identifier": "M326",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Draper, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.