Active NPI
Scott Laurence, M.ED, PH.D
- Mental Health Counselor
- Lake Worth, FL
National Provider Identifier
1437365525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 50164
- Practice address
- 11668 Piping Plover Rd
Lake Worth, FL 33449-5846 - Phone
- (561) 798-6604
- NPI assigned
- May 15, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 50164 | FL | Primary |
Addresses
Primary practice location
11668 Piping Plover Rd
Lake Worth, FL 33449-5846
Mailing address
11668 Piping Plover Rd
Lake Worth, FL 33449-5846
Phone (561) 798-6604
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 50164 | Other | FL | CERTIFIED MENTAL HEALTH |
| 9930 | Other | FL | STATE OF FLORIDA LICENSED MENTAL HEALTH COUNSELOR |
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)
- Not enrolled
- Credentials
- Master of Education, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50164 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257984000000",
"number": "1437365525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11668 PIPING PLOVER RD",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "334495846",
"telephone_number": "561-798-6604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11668 PIPING PLOVER RD",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "334495846",
"telephone_number": "561-798-6604"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAURENCE",
"first_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "M.ED, PH.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-15",
"last_updated": "2009-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "50164",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CERTIFIED MENTAL HEALTH",
"identifier": "50164",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF FLORIDA LICENSED MENTAL HEALTH COUNSELOR",
"identifier": "9930",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lake Worth, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.