Active NPI
Lillian Clarise St. Laurent, L.P.C.
- Professional Counselor
- Sterling, VA
National Provider Identifier
1376638650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701001994
- Practice address
- 22636 Glenn Drive Suite 105
Sterling, VA 20164 - Phone
- (571) 277-1105
- Fax
- (703) 481-5735
- NPI assigned
- Oct 4, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0701001994 | VA | Primary |
Addresses
Primary practice location
22636 Glenn Drive Suite 105
Sterling, VA 20164
Mailing address
22636 Glenn Drive Suite 105
Sterling, VA 20164
Phone (571) 277-1105
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 107346 | Other | VA | ANTHEM BC/BS |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0701001994 | VA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1376638650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22636 GLENN DRIVE SUITE 105",
"city": "STERLING",
"state": "VA",
"postal_code": "20164",
"telephone_number": "571-277-1105",
"fax_number": "703-481-5735"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22636 GLENN DRIVE SUITE 105",
"city": "STERLING",
"state": "VA",
"postal_code": "20164",
"telephone_number": "571-277-1105",
"fax_number": "703-481-5735"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ST. LAURENT",
"first_name": "LILLIAN",
"middle_name": "CLARISE",
"name_prefix": "Ms.",
"credential": "L.P.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-04",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701001994",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC/BS",
"identifier": "107346",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sterling, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.