Individual provider Active NPI

David Matthew Laughlin, MA, LMHC

  • Mental Health Counselor
  • Winter Park, FL
National Provider Identifier
1295490142
Registry record updated Nov 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH19863 Issued in FL
Practice address
1505 Orchid Ave
Winter Park, FL 32789-5649
Phone
(407) 644-4692
Fax
(407) 644-4882
NPI assigned
Nov 5, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH19863 FL Primary

Addresses

Primary practice location

1505 Orchid Ave
Winter Park, FL 32789-5649

Mailing address

179 Aunt Polly CT
Orlando, FL 32828-8911
Phone (715) 379-8162

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20250527000695 FL Practitioner - Mental Health Counselor 5991224651 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lutheran Counseling Services, Inc.Group PAC ID 2365968872, 8 clinicians

Practice addresses (Care Compare)

1505 Orchid Ave
Winter Park, FL 32789-5649
Phone (407) 644-4692

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Lutheran Counseling Services, Inc. Mental Health CurrentSince May 1, 2025 Accepting new patients
Lutheran Counseling Services PastSince Nov 9, 2021 Accepting new patients

Locations

1801 Rouse Rd
Orlando, FL 32817
Phone (407) 282-4569

1505 Orchid Ave
Winter Park, FL 32789
Phone (407) 644-4692

Organizations & group practices 2

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": "1636070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636070400000",
    "number": "1295490142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "179 AUNT POLLY CT",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328288911",
            "telephone_number": "715-379-8162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 ORCHID AVE",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327895649",
            "telephone_number": "407-644-4692",
            "fax_number": "407-644-4882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAUGHLIN",
        "first_name": "DAVID",
        "middle_name": "MATTHEW",
        "credential": "MA, LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-11-05",
        "last_updated": "2021-11-05",
        "certification_date": "2021-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH19863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

Verify at the official NPI Registry.