Lauren Nicole Setubal, LCMHCA

Primary specialty

CounselorTaxonomy code 101Y00000X

License

A14974 Issued in NC

Practice address

1042 Washington St
Raleigh, NC 27605-1258

Phone

(310) 702-1737

NPI assigned

Apr 5, 2023

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

Other names 1

• Lauren Nicole Gustafson Former name

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": "1680652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680652800000",
    "number": "1346935418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 DOBBS PL",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277073907",
            "telephone_number": "310-702-1737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1042 WASHINGTON ST",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276051258",
            "telephone_number": "310-702-1737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SETUBAL",
        "first_name": "LAUREN",
        "middle_name": "NICOLE",
        "credential": "LCMHCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-05",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NC",
            "license": "A14974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "GUSTAFSON",
            "middle_name": "NICOLE",
            "credential": "LCMHCA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nidhi N Seth, PT, DPT
• Hartej Singh Sethi, MD
• Avery Settle, PA
• Ashley Rustin Settlemeyer, CRNA
• Subbulakshmi Settu
• Seulah Kim, DMD, PLLC
• Isabel Frances Severa
• Kathleen Elizabeth Seward
• Paul N Seward, MD
• Jacquelyn Paula Sexton, SLP

• Counselor in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2023; 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.