Ann L Lazerus, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

4933435-6004 Issued in UT

Practice address

150 S 600 E
Suite 8-C
Salt Lake City, UT 84102-1999

Phone

(801) 414-9650

Fax

(801) 363-1785

NPI assigned

Jul 29, 2010

Last updated

Jul 29, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1280361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280361600000",
    "number": "1336453596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 S 600 E",
            "address_2": "SUITE 8-C",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841021999",
            "telephone_number": "801-414-9650",
            "fax_number": "801-363-1785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 S 600 E",
            "address_2": "SUITE 8-C",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841021999",
            "telephone_number": "801-414-9650",
            "fax_number": "801-363-1785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAZERUS",
        "first_name": "ANN",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-29",
        "last_updated": "2010-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "UT",
            "license": "4933435-6004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Professional Counselor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2010; 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.