Individual provider Active NPI

Lauren Eavarone, LMFT

  • Marriage & Family Therapist
  • New York, NY
National Provider Identifier
1306319728
Registry record updated Jan 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
001548 Issued in NY
Practice address
635 E 14TH St Apt 3D
New York, NY 10009-3229
Phone
(631) 335-6859
NPI assigned
Jan 8, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 001548 NY Primary

Addresses

Primary practice location

635 E 14TH St Apt 3D
New York, NY 10009-3229

Mailing address

45 Pioneer Blvd
Huntington Station, NY 11746-4423
Phone (631) 335-6859

Other practice location 1

600 3rd Ave Fl 2
New York, NY 10016-1919
Phone (929) 273-0384

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL SimplePractice.com

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

State licenses

LicenseStateTypeSpecialty
001548NYMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Aa Psychology PLLC Marriage & Family Therapist Past Accepting new patients

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": "1546905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611532800000",
    "number": "1306319728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 PIONEER BLVD",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "117464423",
            "telephone_number": "631-335-6859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 E 14TH ST APT 3D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100093229",
            "telephone_number": "631-335-6859"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 3rd Ave Fl 2",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100161919",
            "country_code": "US",
            "telephone_number": "929-273-0384",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EAVARONE",
        "first_name": "LAUREN",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-08",
        "last_updated": "2021-01-25",
        "certification_date": "2021-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NY",
            "license": "001548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "SimplePractice.com",
            "affiliation": "N",
            "address_1": "635 E 14th St Apt 3D",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100093229",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2021; 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.