Lara Waldenmaier

Primary specialty

CounselorTaxonomy code 101Y00000X

License

E.0008228 Issued in OH

Practice address

221 E 320TH St
Willowick, OH 44095-3539

Phone

(440) 742-4656

Fax

(440) 792-5081

NPI assigned

Apr 5, 2016

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

• Lara Virostko Former name

Medicare fee-for-service enrollment

Enrolled in OH

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Sondermind Provider Network LLC

  • Clinical Social Worker
  • Denver, CO
  • NPI 1760854442

  OH

  Medicare reassignment NPD
• Lara Waldenmaier LLC

  • Counselor
  • Willoughby, OH
  • NPI 1629659610
  NPD Authorized official
• Anchor Counseling Services, LLC

  • Mental Health Counselor
  • Mentor, OH
  • NPI 1245614965
  NPD (past)

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

{
    "created_epoch": "1459814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459814400000",
    "number": "1396108445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 E 320TH ST",
            "city": "WILLOWICK",
            "state": "OH",
            "postal_code": "440953539",
            "telephone_number": "440-742-4656",
            "fax_number": "440-792-5081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 E 320TH ST",
            "city": "WILLOWICK",
            "state": "OH",
            "postal_code": "440953539",
            "telephone_number": "440-742-4656",
            "fax_number": "440-792-5081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALDENMAIER",
        "first_name": "LARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-05",
        "last_updated": "2016-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "E.0008228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LARA",
            "last_name": "VIROSTKO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Maria Vokic
• Charles Anthony Volk, D.C.
• Volk's Chiropractic on Vine
• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-1863)
• Wal-Mart Stores East, LP (Vision Center 30-1863)
• Walgreen Co (Walgreens #13058)
• Lauren Walker, PHARMD
• Romale Wallace Sr.
• Erica Michelle Wazney, D.M.D
• John Leonard Wazney, D.M.D

• Counselor in Willowick, OH
• Providers in Willowick, OH by specialty
• Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.