Individual provider Active NPI

Laura Bearden, LMHC

  • Mental Health Counselor
  • Pensacola, FL
National Provider Identifier
1396209490
Registry record updated Oct 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH16309 Issued in FL
Practice address
1221 W Lakeview Ave
Pensacola, FL 32501-1836
Phone
(850) 469-3500
Fax
(850) 595-1400
NPI assigned
Jan 23, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2023

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 MH16309 FL Primary

Addresses

Primary practice location

1221 W Lakeview Ave
Pensacola, FL 32501-1836

Mailing address

1221 W Lakeview Ave
Pensacola, FL 32501-1836
Phone (850) 469-3500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20231208001160 FL Practitioner - Mental Health Counselor 2163871625 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeview Center Inc CurrentSince Jan 1, 2024 Accepting new patients

Locations

1221 W Lakeview Ave
Pensacola, FL 32501
Phone (850) 469-3500

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1548201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698105600000",
    "number": "1396209490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 W LAKEVIEW AVE",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325011836",
            "telephone_number": "850-469-3500",
            "fax_number": "850-595-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 W LAKEVIEW AVE",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325011836",
            "telephone_number": "850-469-3500",
            "fax_number": "850-595-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEARDEN",
        "first_name": "LAURA",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-23",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH16309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.