Individual provider Active NPI

Laurie L. Nussbaum, MSW, LCSW

  • Mental Health Counselor
  • Bossier City, LA
National Provider Identifier
1467463331
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
4307 Issued in LA
Practice address
2285 Benton Rd BLDG III Ste 502
Bossier City, LA 71111-7933
Phone
(318) 549-1082
Fax
(318) 549-1083
NPI assigned
Aug 10, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 4307 LA Primary

Addresses

Primary practice location

2285 Benton Rd BLDG III Ste 502
Bossier City, LA 71111-7933

Mailing address

2285 Benton Rd BLDG III Ste 502
Bossier City, LA 71111-7933
Phone (318) 549-1082

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20090716000008 LA Practitioner - Clinical Social Worker 1759433154 Practice locations: Bossier City, LA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2285 Benton Rd Green Acres Off PK
BLDG III Suite 502
Bossier City, LA 71111-7933
Phone (318) 549-1082

2285 Benton Rd Greenacres Office Park
BLDG III Suite 502
Bossier City, LA 71111-7933

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467463331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2285 BENTON RD BLDG III STE 502",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711117933",
            "telephone_number": "318-549-1082",
            "fax_number": "318-549-1083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2285 BENTON RD BLDG III STE 502",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711117933",
            "telephone_number": "318-549-1082",
            "fax_number": "318-549-1083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUSSBAUM",
        "first_name": "LAURIE",
        "middle_name": "L.",
        "name_prefix": "Mrs.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "4307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bossier City, LA

Sources for this page

Verify at the official NPI Registry.