Individual provider Active NPI

Lauren E Blaauboer-Kent

  • Mental Health Counselor
  • Latham, NY
National Provider Identifier
1386117240
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
6 Wellness Way Ste 112
Latham, NY 12110-2156
Phone
(518) 881-1109
Fax
(518) 213-6985
NPI assigned
Jan 3, 2019
Last updated
Mar 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

6 Wellness Way Ste 112
Latham, NY 12110-2156

Mailing address

6 Wellness Way Ste 201
Latham, NY 12110-2156
Phone (518) 782-3700

Other practice location 1

60 Academy Rd
Albany, NY 12208-3103
Phone (518) 426-2600

Other practice location 2

400 Sheridan Ave
Albany, NY 12206-2920
Phone (518) 475-6850

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20240214002157 NY Practitioner - Mental Health Counselor 5597109876 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Care Physicians PLLCGroup PAC ID 8022904473, 361 clinicians

Practice addresses (Care Compare)

713 Troy Schenectady Rd
Suite 224
Latham, NY 12110-2490
Phone (518) 785-5881

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
012802NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care Physicians, PLLC Mental Health CurrentSince Mar 17, 2024 Accepting new patients
Community Care Physicians, PLLC CurrentSince Mar 25, 2024 Accepting new patients
Parsons Child and Family Center CurrentSince Jan 3, 2024 Accepting new patients
Parsons Child and Family Center Past Accepting new patients

Locations

400 Sheridan Ave
Albany, NY 12206
Phone (518) 475-6850

60 Academy Rd
Albany, NY 12208
Phone (518) 653-7306

401 New Karner Rd
Colonie, NY 12205
Phone (518) 456-3614

6 Wellness Way
Ste 112
Latham, NY 12110
Phone (518) 881-1109

6 Wellness Way
Ste 201
Latham, NY 12110
Phone (518) 782-3900

711 Troy Schenectady Rd
Ste 210
Latham, NY 12110

713 Troy Schenectady Rd
Ste 224
Latham, NY 12110
Phone (518) 785-3614

2452 State Route 9
Ste 206
Malta, NY 12020
Phone (518) 292-5433

Interoperability endpoints

  • Direct secure messaging: laurenblaauboer-kent@ccp.allscriptsdirect.net

Organizations & group practices 4

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": "1546473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711411200000",
    "number": "1386117240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 WELLNESS WAY STE 201",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121102156",
            "telephone_number": "518-782-3700",
            "fax_number": "518-782-3799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 WELLNESS WAY STE 112",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121102156",
            "telephone_number": "518-881-1109",
            "fax_number": "518-213-6985"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "60 Academy Rd",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122083103",
            "country_code": "US",
            "telephone_number": "518-426-2600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 Sheridan Ave",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122062920",
            "country_code": "US",
            "telephone_number": "518-475-6850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLAAUBOER-KENT",
        "first_name": "LAUREN",
        "middle_name": "E",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-03",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Latham, NY

Sources for this page

Verify at the official NPI Registry.