Individual provider Active NPI

Laura Swalley, LMHC

  • Mental Health Counselor
  • Marianna, FL
National Provider Identifier
1437398146
Registry record updated Aug 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH9705 Issued in FL
Practice address
4094 Lafayette St
Marianna, FL 32446-5648
Phone
(850) 482-7441
NPI assigned
Feb 19, 2009
Last updated
Aug 27, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH9705 FL Primary
Professional Counselor 101YP2500X 0001928 MO

Addresses

Primary practice location

4094 Lafayette St
Marianna, FL 32446-5648

Mailing address

525 E 15TH St
Panama City, FL 32405-5412
Phone (850) 522-4485

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20231214001795 FL Practitioner - Mental Health Counselor 6709235872 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

16869 NE Pear St
Blountstown, FL 32424-1774
Phone (850) 522-4485

310 E Byrd Ave
Bonifay, FL 32425-3068
Phone (850) 522-4485

311 Williams Ave
Port St Joe, FL 32456-1845
Phone (850) 522-4485

4094 Lafayette St
Marianna, FL 32446-5648
Phone (850) 522-4485

525 E 15TH St
Panama City, FL 32405-5412
Phone (850) 522-4485

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH9705FLMDMental Health Counselor
0001928MOMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Life Management of NW FL, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Life Management Center of NW FL, Inc. Current Accepting new patients
Life Management Center of Northwest Florida Inc CurrentSince Jan 1, 2024 Accepting new patients
Life Management of NW FL, Inc. Past Accepting new patients

Locations

16869 NE Pear St
Blountstown, FL 32424
Phone (850) 522-4485

310 E Byrd Ave
Bonifay, FL 32425
Phone (850) 522-4485

4094 Lafayette St
Marianna, FL 32446
Phone (850) 482-7441

525 E 15th St
Panama City, FL 32405
Phone (850) 522-4485

311 Williams Ave
Port St Joe, FL 32456
Phone (850) 522-4485

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1235001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440633600000",
    "number": "1437398146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 E 15TH ST",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324055412",
            "telephone_number": "850-522-4485",
            "fax_number": "850-522-4481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4094 LAFAYETTE ST",
            "city": "MARIANNA",
            "state": "FL",
            "postal_code": "324465648",
            "telephone_number": "850-482-7441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWALLEY",
        "first_name": "LAURA",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-19",
        "last_updated": "2015-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH9705",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "0001928",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marianna, FL

Sources for this page

Verify at the official NPI Registry.