Laura Gorenc, ED.S.

Primary specialty

School PsychologistTaxonomy code 103TS0200X

License

PPS-0605760 Issued in VA

Practice address

1712 Chestnut Ave
Newport News, VA 23607-5914

Phone

(757) 928-6838

NPI assigned

Feb 19, 2018

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

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": "1518998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1336649185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1712 CHESTNUT AVE",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236075914",
            "telephone_number": "757-928-6838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1712 CHESTNUT AVE",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236075914",
            "telephone_number": "757-928-6838"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13450 Woodside Ln",
            "address_purpose": "LOCATION",
            "city": "Newport News",
            "state": "VA",
            "postal_code": "236081364",
            "country_code": "US",
            "telephone_number": "757-928-6838 x42590",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GORENC",
        "first_name": "LAURA",
        "credential": "ED.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-19",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "VA",
            "license": "PPS-0605760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gordon Wellness LLC
• Aliya Simcha Gordon
• Shennel Gordon
• David Leon Gore Jr., MD
• Savannah Gore
• Thomas Jamaar Gorham, QMHP-A
• Danielle Gorman, DPT
• Lee J Gotthardt, FNP-BC
• Miriam Elizabeth Gotthardt, P.A-C
• Kristen Noelle Goudreau, RBT

• School Psychologist in Newport News, VA
• Providers in Newport News, VA by specialty
• School Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.