Individual provider Active NPI

Laura Fales

  • Professional Counselor
  • Portsmouth, VA
National Provider Identifier
1255957965
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701009390 Issued in VA
Practice address
355 Crawford St Ste 816
Portsmouth, VA 23704-2825
Phone
(757) 966-2715
NPI assigned
Jun 18, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2024

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 0701009390 VA Primary

Addresses

Primary practice location

355 Crawford St Ste 816
Portsmouth, VA 23704-2825

Mailing address

355 Crawford St Ste 816
Portsmouth, VA 23704-2825
Phone (757) 966-2715

Other names 1

  • Laura Knowles Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20240702004517 VA Practitioner - Mental Health Counselor 7618411612 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Current Counseling LLCGroup PAC ID 8729522727, 3 clinicians

Practice addresses (Care Compare)

355 Crawford St
Suite 816
Portsmouth, VA 23704-2825
Phone (757) 966-2715

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0701009390VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Current Counseling LLC Professional CurrentSince Apr 1, 2024 Accepting new patients

Locations

355 Crawford St
Ste 322
Portsmouth, VA 23704
Phone (757) 392-6991

355 Crawford St
Ste 816
Portsmouth, VA 23704
Phone (757) 966-1711

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": "1592438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711584000000",
    "number": "1255957965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 CRAWFORD ST STE 816",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237042825",
            "telephone_number": "757-966-2715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 CRAWFORD ST STE 816",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237042825",
            "telephone_number": "757-966-2715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALES",
        "first_name": "LAURA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-18",
        "last_updated": "2024-03-28",
        "certification_date": "2022-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701009390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "KNOWLES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Portsmouth, VA

Sources for this page

Verify at the official NPI Registry.