Jamie Laurson LCPC PLLC

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

JAMIE LAURSON LCPC PLLC

Practice address

2416 E Washington St Ste A3
Bloomington, IL 61704-1608

Phone

(309) 242-3975

NPI assigned

Oct 13, 2021

Organization subpart

No

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

Authorized official

Name

Jamie LaursonNPI 1720376221

Title

Counselor

Phone

(309) 242-3975

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jamie Laurson

  • Counselor
  • Bloomington, IL
  • NPI 1720376221
  NPD Authorized official

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

{
    "created_epoch": "1634083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635897600000",
    "number": "1346902632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2416 E WASHINGTON ST STE A3",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617041608",
            "telephone_number": "309-242-3975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2416 E WASHINGTON ST STE A3",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617041608",
            "telephone_number": "309-242-3975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMIE LAURSON LCPC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-13",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A",
        "authorized_official_last_name": "LAURSON",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "309-242-3975"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Marie Jagodzinski
• Parker Jain, DO
• James N Lee MD SC
• Danielle Jameson
• Tonja Lynn Jameson, LPC
• Ann L Janes
• Scott Joseph Januzik, M.D.
• Paul A Jarvis, PH.D.
• Bryan D Jasker, PT
• Amy Jassman

• Counselor in Bloomington, IL
• Providers in Bloomington, IL by specialty
• Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2021; 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.