Individual provider Active NPI

Laura Loeffler Ziebarth, PH.D.

  • Psychologist
  • Saint Joseph, MI
National Provider Identifier
1356494900
Registry record updated Sep 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
3408 Niles Rd
Saint Joseph, MI 49085-8628
Phone
(269) 428-4789
Fax
(269) 408-0084
NPI assigned
Jan 18, 2007
Last updated
Sep 21, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6301008479 MI
Psychologist 103T00000X Primary

Addresses

Primary practice location

3408 Niles Rd
Saint Joseph, MI 49085-8628

Mailing address

4717 Woodland Dr
Saint Joseph, MI 49085-9318
Phone (269) 429-4694

Other practice location 1

3888 Niles Rd
Saint Joseph, MI 49085-8612
Phone (269) 428-4789

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20120131000910 MI Practitioner - Clinical Psychologist 1254598329 Practice locations: Saint Joseph, MI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3573 Hollywood Rd
Saint Joseph, MI 49085-9581
Phone (269) 428-4789

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Psychology Associates, PC Psychologist Past Accepting new patients
Kristin Emanuel LLC PastSince Sep 26, 2024 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537488000000",
    "number": "1356494900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4717 WOODLAND DR",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490859318",
            "telephone_number": "269-429-4694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3408 NILES RD",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490858628",
            "telephone_number": "269-428-4789",
            "fax_number": "269-408-0084"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3888 Niles Rd",
            "address_purpose": "LOCATION",
            "city": "Saint Joseph",
            "state": "MI",
            "postal_code": "490858612",
            "country_code": "US",
            "telephone_number": "269-428-4789",
            "fax_number": "269-428-7456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZIEBARTH",
        "first_name": "LAURA",
        "middle_name": "LOEFFLER",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2018-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6301008479",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Joseph, MI

Sources for this page

Verify at the official NPI Registry.