Active NPI
Laurel Wiig, PHD LMFT
- Professional Counselor
- Porter Ranch, CA
National Provider Identifier
1285821686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 42813
- Practice address
- 11145 Tampa Ave Ste 27a
Porter Ranch, CA 91326-2274 - Phone
- (310) 774-1364
- NPI assigned
- Sep 28, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 42813 | CA | Primary |
Addresses
Primary practice location
11145 Tampa Ave Ste 27a
Porter Ranch, CA 91326-2274
Mailing address
11145 Tampa Ave Ste 27a
Porter Ranch, CA 91326-2274
Phone (310) 774-1364
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42813 | CA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585008000000",
"number": "1285821686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11145 TAMPA AVE STE 27A",
"city": "PORTER RANCH",
"state": "CA",
"postal_code": "913262274",
"telephone_number": "310-774-1364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11145 TAMPA AVE STE 27A",
"city": "PORTER RANCH",
"state": "CA",
"postal_code": "913262274",
"telephone_number": "310-774-1364"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIIG",
"first_name": "LAUREL",
"name_prefix": "Dr.",
"credential": "PHD LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-09-28",
"last_updated": "2020-03-24",
"certification_date": "2020-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "42813",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Porter Ranch, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.