Individual provider Active NPI

Laura D. Jakabauski, LPC

  • Professional Counselor
  • Southington, CT
National Provider Identifier
1245286582
Registry record updated Dec 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
001213 Issued in CT
Practice address
224 Farmstead Rd
Southington, CT 06489-2462
Phone
(860) 324-5289
NPI assigned
May 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 001213 CT Primary

Addresses

Primary practice location

224 Farmstead Rd
Southington, CT 06489-2462

Mailing address

224 Farmstead Rd
Southington, CT 06489-2462
Phone (860) 324-6289

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20240508002357 CT Practitioner - Mental Health Counselor 7719328731 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

224 Farmstead Rd
Southington, CT 06489-2462
Phone (860) 324-6289

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
001213CTMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
LJ Behavioral Health Counseling LLC Professional CurrentSince Mar 10, 2024 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": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703721600000",
    "number": "1245286582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 FARMSTEAD RD",
            "city": "SOUTHINGTON",
            "state": "CT",
            "postal_code": "064892462",
            "telephone_number": "860-324-6289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 FARMSTEAD RD",
            "city": "SOUTHINGTON",
            "state": "CT",
            "postal_code": "064892462",
            "telephone_number": "860-324-5289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAKABAUSKI",
        "first_name": "LAURA",
        "middle_name": "D.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-26",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "001213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southington, CT

Sources for this page

Verify at the official NPI Registry.