Laurie Ames Petty, M.Ed., LPC, P.a.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

17704 Issued in TX

Legal business name

LAURIE AMES PETTY, M.ED., LPC, P.A.

Practice address

14833 Midway Rd
Suite 210
Addison, TX 75001-4955

Phone

(214) 202-4687

Fax

(214) 390-8112

NPI assigned

Jan 18, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Laurie Ames Petty, M.ED., LPC, P.A.NPI 1801072533

Title

Owner

Phone

(214) 202-4687

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Laurie Ames Petty, M.ED., LPC, P.A.

  • Professional Counselor
  • Addison, TX
  • NPI 1801072533
  NPD (past) Authorized official

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211500800000",
    "number": "1316927197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 180244",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752180244",
            "telephone_number": "214-202-4687",
            "fax_number": "214-390-8112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14833 MIDWAY RD",
            "address_2": "SUITE 210",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750014955",
            "telephone_number": "214-202-4687",
            "fax_number": "214-390-8112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURIE AMES PETTY, M.ED., LPC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-18",
        "last_updated": "2008-05-23",
        "status": "A",
        "authorized_official_last_name": "PETTY",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_middle_name": "AMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-202-4687",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.ED., LPC, P.A."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "17704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Addison, TX
• Providers in Addison, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2008; 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.