Individual provider Active NPI

Marilyn D McLaurine, LPC

  • Mental Health Counselor
  • Carrollton, TX
National Provider Identifier
1225451644
Registry record updated Sep 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
81259 Issued in TX
Practice address
4425 Plano Pkwy Ste 602
Carrollton, TX 75010-5030
Phone
(402) 591-9249
NPI assigned
Jan 22, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X P-1098 NE
Mental Health Counselor 101YM0800X 9659 NE
Mental Health Counselor 101YM0800X 001656 IA
Mental Health Counselor 101YM0800X 81259 TX Primary

Addresses

Primary practice location

4425 Plano Pkwy Ste 602
Carrollton, TX 75010-5030

Mailing address

4425 Plano Pkwy Ste 602
Carrollton, TX 75010-5030
Phone (402) 591-9249

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

LicenseStateTypeSpecialty
P-1098NEMDAddiction (Substance Use Disorder) Counselor
9659NEMDMental Health Counselor
81259TXMDMental Health Counselor
001656IAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Mental Health Current Accepting new patients
PHC of Buffalo Grove Clinical Psychology PastSince Apr 1, 2018 Accepting new patients
Progressive Behavioral Health, PLLC Addiction (Substance Use Disorder) PastSince May 5, 2021 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: marilynmclaurine@tdh.allscriptsdirect.net

Organizations & group practices 3

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": "1390348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632009600000",
    "number": "1225451644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4425 PLANO PKWY STE 602",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750105030",
            "telephone_number": "402-591-9249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4425 PLANO PKWY STE 602",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750105030",
            "telephone_number": "402-591-9249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLAURINE",
        "first_name": "MARILYN",
        "middle_name": "D",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-22",
        "last_updated": "2021-09-19",
        "certification_date": "2021-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NE",
            "license": "P-1098",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "9659",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "001656",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "81259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2021; 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.