Anita L Larae, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH00010789 Issued in WA

Practice address

4275 SE Mile Hill Dr
Suite B
Port Orchard, WA 98366-3934

Phone

(360) 871-4431

Fax

(360) 769-5909

NPI assigned

Sep 23, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1158969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265155200000",
    "number": "1417057100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 236",
            "city": "MANCHESTER",
            "state": "WA",
            "postal_code": "983530236",
            "telephone_number": "360-871-4431",
            "fax_number": "360-769-5909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4275 SE MILE HILL DR",
            "address_2": "SUITE B",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983663934",
            "telephone_number": "360-871-4431",
            "fax_number": "360-769-5909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARAE",
        "first_name": "ANITA",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-23",
        "last_updated": "2010-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "RC00046731",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00010789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laboratory Corporation of America
• Doddie A Lagervall, CP60310560
• Brenna Lamere, RN
• Sharyn Lane
• Amber Marie Lapolla, PTA
• Dena Larsen, DPT
• Mallory Larson-Burns
• Jessica Lee Larson, CCC-SLP
• Gerard V Lasalle, MD
• Jensen Lau, RPH

• Mental Health Counselor in Port Orchard, WA
• Providers in Port Orchard, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.