Individual provider Active NPI

Laurey Gronemeier, M.ED., LPC, NCC, MAC

  • Professional Counselor
  • Fairbanks, AK
National Provider Identifier
1417274101
Registry record updated Apr 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PCOP797 Issued in AK
Practice address
1340 Gull Rd
Fairbanks, AK 99712-1223
Phone
(907) 322-0293
Fax
(833) 368-6338
NPI assigned
Apr 21, 2010
Last updated
Apr 13, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LCPC-8101 ID
Professional Counselor 101YP2500X PCOP797 AK Primary

Addresses

Primary practice location

1340 Gull Rd
Fairbanks, AK 99712-1223

Mailing address

PO Box 10998
Fairbanks, AK 99710-0998
Phone (907) 322-0293

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
PCOP797AKMDProfessional Counselor
LCPC-8101IDMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1271808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618272000000",
    "number": "1417274101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10998",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997100998",
            "telephone_number": "907-322-0293",
            "fax_number": "833-368-6338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 GULL RD",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997121223",
            "telephone_number": "907-322-0293",
            "fax_number": "833-368-6338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRONEMEIER",
        "first_name": "LAUREY",
        "credential": "M.ED., LPC, NCC, MAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-21",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "LCPC-8101",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AK",
            "license": "PCOP797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairbanks, AK

Sources for this page

Verify at the official NPI Registry.