Laura S Haines, MA, LPC
Individual provider Active NPI Counselor · Boonville, MO
NPI 1457043580 · NPPES record last updated Jul 30, 2024
Key facts
- NPI
- 1457043580
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- License
- 2013010487 (MO)
- Practice address
- 413 E Spring St
Boonville, MO 65233-1573 - Phone
- (573) 289-8495
- Fax
- (660) 882-7139
- NPI assigned
- May 25, 2023
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
413 E Spring St
Boonville, MO 65233-1573
Phone (573) 289-8495
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241227002651 | MO | Practitioner - Mental Health Counselor | 1759818073 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walking Peace | Current |
Accepting new patients | |
| Insight Dynamics LLC | Current |
Accepting new patients |
Locations
413 E Spring St
Boonville, MO 65233
Phone (573) 289-8495
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 2013010487 | MO | Yes |
| Mental Health Counselor | 101YM0800X |
Addresses
Primary practice location
413 E Spring St
Boonville, MO 65233-1573
Mailing address
413 E Spring St
Boonville, MO 65233-1573
Phone (573) 289-8495
Other providers in Boonville, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 30, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.