Individual provider Active NPI

Lucy Simpson Lauer, LMHC

  • Mental Health Counselor
  • Indialantic, FL
National Provider Identifier
1336264902
Registry record updated Dec 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH 9141 Issued in FL
Practice address
107 N Palm Ave
Indialantic, FL 32903-3131
Phone
(321) 327-3793
Fax
(321) 327-7914
NPI assigned
Mar 20, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2009

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 MH 9141 FL Primary

Addresses

Primary practice location

107 N Palm Ave
Indialantic, FL 32903-3131

Mailing address

2105 S River Rd
Melbourne Beach, FL 32951-2929
Phone (321) 327-3793

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
MH 9141FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Kristine Van Workum, Rd, LDN, Inc. Past Accepting new patients
Corinne Zimmer, PSYD LLC Past Accepting new patients
Beachside Counseling and Wellness, LLC Past Accepting new patients

Organizations & group practices 3

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": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260230400000",
    "number": "1336264902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 S RIVER RD",
            "city": "MELBOURNE BEACH",
            "state": "FL",
            "postal_code": "329512929",
            "telephone_number": "321-327-3793",
            "fax_number": "321-327-7914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 N PALM AVE",
            "city": "INDIALANTIC",
            "state": "FL",
            "postal_code": "329033131",
            "telephone_number": "321-327-3793",
            "fax_number": "321-327-7914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAUER",
        "first_name": "LUCY",
        "middle_name": "SIMPSON",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2009-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH 9141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indialantic, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2009; 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.