Active NPI
Laura Theresa Wann
- Mental Health Counselor
- Devon, PA
National Provider Identifier
1376368928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 400 W Lancaster Ave
Devon, PA 19333-1531 - Phone
- (610) 999-6414
- NPI assigned
- Nov 19, 2024
- Last updated
- Nov 19, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | Primary |
Addresses
Primary practice location
400 W Lancaster Ave
Devon, PA 19333-1531
Mailing address
400 W Lancaster Ave
Devon, PA 19333-1531
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 2 Crows LLC | Current | Accepting new patients |
Locations
400 W Lancaster Ave
Devon, PA 19333
Phone (610) 851-4800
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, 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": "1731974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731974400000",
"number": "1376368928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 W LANCASTER AVE",
"city": "DEVON",
"state": "PA",
"postal_code": "193331531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 W LANCASTER AVE",
"city": "DEVON",
"state": "PA",
"postal_code": "193331531",
"telephone_number": "610-999-6414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WANN",
"first_name": "LAURA",
"middle_name": "THERESA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-11-19",
"last_updated": "2024-11-19",
"certification_date": "2024-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Devon, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.