Organization Active NPI

Laura L Larue, Aprn-BC, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Elizabethtown, KY
National Provider Identifier
1265222012
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
LAURA L LARUE, APRN-BC, PLLC
Practice address
100 Gray St
Elizabethtown, KY 42701-2608
Phone
(270) 317-0271
NPI assigned
May 7, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2025

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

Authorized official

Name
Laura L Larue, APRN-BCNPI 1962961979
Title
Pmhnp/ FNP
Phone
(270) 317-0271

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

100 Gray St
Elizabethtown, KY 42701-2608

Mailing address

100 Gray St
Elizabethtown, KY 42701-2608
Phone (270) 317-0271

Other names 1

  • L Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250815001396 KY Part B Supplier - Clinic/Group Practice 2365941580 Receives reassigned benefits from 1 practitioner
Practice locations: Elizabethtown, KY

National Provider Directory

National Provider Directory

Locations

1345 Woodland Dr
#A
Elizabethtown, KY 42701
Phone (270) 900-1825

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1746576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746576000000",
    "number": "1265222012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 GRAY ST",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427012608",
            "telephone_number": "270-317-0271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 GRAY ST",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427012608",
            "telephone_number": "270-317-0271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURA L LARUE, APRN-BC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-07",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-06",
        "status": "A",
        "authorized_official_last_name": "LARUE",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PMHNP/ FNP",
        "authorized_official_telephone_number": "270-317-0271",
        "authorized_official_credential": "APRN-BC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "L",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Elizabethtown, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.