Laura Ann Whittaker, LMSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6801086531 Issued in MI

Practice address

2215 Court St
Port Huron, MI 48060-4937

Phone

(810) 987-1311

Fax

(810) 985-2150

NPI assigned

Sep 1, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Clinical Social Worker

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pure Psychiatry of Michigan PLLCGroup PAC ID 1254741283, 102 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Pure Psychiatry of Michigan PLLC

  • Physician Assistant
  • Wayne, MI
  • NPI 1831701671
  Medicare reassignment Care Compare group NPD
• County of St Clair

  • Public Health or Welfare Agency
  • Port Huron, MI
  • NPI 1053408948
  NPD
• Downriver Community Services Inc.

  • Federally Qualified Health Center (FQHC)
  • Port Huron, MI
  • NPI 1508703570
  NPD (past)

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678752000000",
    "number": "1336241439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3415 28TH ST",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480606931",
            "telephone_number": "810-987-5300",
            "fax_number": "810-985-2150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 COURT ST",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480604937",
            "telephone_number": "810-987-1311",
            "fax_number": "810-985-2150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3415 28th St",
            "address_purpose": "LOCATION",
            "city": "Port Huron",
            "state": "MI",
            "postal_code": "480606931",
            "country_code": "US",
            "telephone_number": "810-987-5300",
            "fax_number": "810-985-2150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITTAKER",
        "first_name": "LAURA",
        "middle_name": "ANN",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-01",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6801086531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mondreek Whack
• Traci Lynn Wheeler
• Mark James White
• Marie Whitehead
• Jason A Whiting
• Autumn Anne Whitten, PA-C
• Amanda Allison Whittredge, LPN
• Amanda Whymer, NP
• Donna A Wiczorek, SWT
• Carol Lydia Wiediger, APRN

• Mental Health Counselor in Port Huron, MI
• Providers in Port Huron, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.