Individual provider Active NPI

Laurie Lundquist, LCSW-R

  • Mental Health Counselor
  • Overland Park, KS
National Provider Identifier
1427768001
Registry record updated Dec 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
R056784-01 Issued in NY
Practice address
9547 Birch St Apt 211
C/O Ben Lundquist
Overland Park, KS 66207-3254
Phone
(760) 277-1551
NPI assigned
Dec 5, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2022

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 R056784-01 NY Primary

Addresses

Primary practice location

9547 Birch St Apt 211
C/O Ben Lundquist
Overland Park, KS 66207-3254

Mailing address

9547 Birch St Apt 211
C/O Ben Lundquist
Overland Park, KS 66207-3254
Phone (760) 277-1551

Other practice location 1

2 Marlyn Dr
Burnt Hills, NY 12027-9737
Phone (760) 277-1551

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R056784-01NYMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1670198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670976000000",
    "number": "1427768001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9547 BIRCH ST APT 211",
            "address_2": "C/O BEN LUNDQUIST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662073254",
            "telephone_number": "760-277-1551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9547 BIRCH ST APT 211",
            "address_2": "C/O BEN LUNDQUIST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662073254",
            "telephone_number": "760-277-1551"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Marlyn Dr",
            "address_purpose": "LOCATION",
            "city": "Burnt Hills",
            "state": "NY",
            "postal_code": "120279737",
            "country_code": "US",
            "telephone_number": "760-277-1551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUNDQUIST",
        "first_name": "LAURIE",
        "name_prefix": "Ms.",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-05",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "R056784-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2022; 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.