Active NPI
Laura Elizabeth Large, L.M.S.W.
- Clinical Social Worker
- W. Bloomfield, MI
National Provider Identifier
1407409709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801046144
- Practice address
- Couseling Associates, Inc.
6960 Orchard Lake Rd. Ste. 100
W. Bloomfield, MI 48322 - Phone
- (248) 626-1500
- Fax
- (248) 626-1551
- NPI assigned
- Jul 17, 2019
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801046144 | MI | Primary |
Addresses
Primary practice location
Couseling Associates, Inc.
6960 Orchard Lake Rd. Ste. 100
W. Bloomfield, MI 48322
Mailing address
Couseling Associates, Inc.
6960 Orchard Lake Rd. Ste. 100
W. Bloomfield, MI 48322
Phone (248) 626-1500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- University of Michigan Medical School, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6960 Orchard Lake Rd
Suite 100
West Bloomfield, MI 48322-4523
6960 Orchard Lake Rd
Suite 240
West Bloomfield, MI 48322-4519
Phone (248) 626-1500
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801046144 | MI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Counseling Associates Inc | Current | Accepting new patients | |
| Counseling Associates, Incorporated | Past | Accepting new patients | |
| Carol a. Roekle, M.D., P.C. | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Mental Health Counselor
- West Bloomfield, MI
- NPI 1629069471
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Farmington Hills, MI
- NPI 1659419257
-
- Social Worker
- West Bloomfield, MI
- NPI 1356716559
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564358400000",
"number": "1407409709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "COUSELING ASSOCIATES, INC.",
"address_2": "6960 ORCHARD LAKE RD. STE. 100",
"city": "W. BLOOMFIELD",
"state": "MI",
"postal_code": "48322",
"telephone_number": "248-626-1500",
"fax_number": "248-626-1551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "COUSELING ASSOCIATES, INC.",
"address_2": "6960 ORCHARD LAKE RD. STE. 100",
"city": "W. BLOOMFIELD",
"state": "MI",
"postal_code": "48322",
"telephone_number": "248-626-1500",
"fax_number": "248-626-1551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARGE",
"first_name": "LAURA",
"middle_name": "ELIZABETH",
"name_prefix": "Mrs.",
"credential": "L.M.S.W.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-07-17",
"last_updated": "2019-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801046144",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in W. Bloomfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.