Individual provider Active NPI

Laurie Fouts Lebold, LPC, LMFT, CRC

  • Professional Counselor
  • Richmond, VA
National Provider Identifier
1346844370
Registry record updated Nov 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701002586 Issued in VA
Practice address
4908 Monument Ave Ste 101
Richmond, VA 23230-3613
Phone
(804) 381-5053
NPI assigned
Nov 30, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701002586 VA Primary

Addresses

Primary practice location

4908 Monument Ave Ste 101
Richmond, VA 23230-3613

Mailing address

10056 Doe Run PL
Mechanicsville, VA 23116-6217
Phone (804) 536-2755

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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

Enrollment IDStateProvider typePAC IDDetails
I20240320000203 VA Practitioner - Mental Health Counselor 8820435324 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chesterfield Family Guidance CenterGroup PAC ID 5799762712, 40 clinicians

Practice addresses (Care Compare)

4908 Monument Ave
Suite 101
Richmond, VA 23230-3613
Phone (804) 743-0960

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Chesterfield Family Guidance Center Professional CurrentSince Mar 6, 2024 Accepting new patients

Locations

6603 Irongate Sq
North Chesterfield, VA 23234

4908 Monument Ave
Ste 101
Richmond, VA 23230
Phone (757) 974-1469

Organizations & group practices 1

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": "1606694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606694400000",
    "number": "1346844370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10056 DOE RUN PL",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231166217",
            "telephone_number": "804-536-2755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4908 MONUMENT AVE STE 101",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232303613",
            "telephone_number": "804-381-5053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBOLD",
        "first_name": "LAURIE",
        "middle_name": "FOUTS",
        "name_prefix": "Mrs.",
        "credential": "LPC, LMFT, CRC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-30",
        "last_updated": "2020-11-30",
        "certification_date": "2020-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701002586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.