Individual provider Active NPI

Laura Elizabeth Large, L.M.S.W.

  • Clinical Social Worker
  • W. Bloomfield, MI
National Provider Identifier
1407409709
Registry record updated Jul 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801046144 Issued in MI
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

Updated by the provider on Jul 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190819000261 MI Practitioner - Clinical Social Worker 3577891308 Reassigns benefits to 1 organization

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
Counseling Associates IncGroup PAC ID 0648225664, 14 clinicians

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

LicenseStateTypeSpecialty
6801046144MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Associates Inc CurrentSince Jul 30, 2019 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.

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

Verify at the official NPI Registry.