Individual provider Active NPI

Laura Anne Lucas-Silvis, MS, LPC

  • Professional Counselor
  • Eden Prairie, MN
National Provider Identifier
1245455500
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
00030 Issued in MN
Practice address
6542 Regency LN
Suite 201
Eden Prairie, MN 55344-7847
Phone
(952) 903-9201
Fax
(952) 903-9257
NPI assigned
Apr 13, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 00030 MN Primary
Professional Counselor 101YP2500X 2250 CO
Professional Counselor 101YP2500X 0001548 OH

Addresses

Primary practice location

6542 Regency LN
Suite 201
Eden Prairie, MN 55344-7847

Mailing address

5917 Killarney LN S
Edina, MN 55436-1809
Phone (952) 922-2166

Other identifiers 1

IdentifierTypeStateIssuer
1A311LUOtherMNBCBS OF MN PAYEE ID

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
00030MNMDProfessional Counselor
0001548OHMDProfessional Counselor
2250COMDMedical Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245455500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5917 KILLARNEY LN S",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554361809",
            "telephone_number": "952-922-2166",
            "fax_number": "952-903-9257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6542 REGENCY LN",
            "address_2": "SUITE 201",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553447847",
            "telephone_number": "952-903-9201",
            "fax_number": "952-903-9257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCAS-SILVIS",
        "first_name": "LAURA",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "MS, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "00030",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "2250",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "0001548",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MN PAYEE ID",
            "identifier": "1A311LU",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eden Prairie, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.