Individual provider Active NPI

Laurie Fay Dawkins, LPC

  • Professional Counselor
  • Madras, OR
National Provider Identifier
1467868976
Registry record updated Feb 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C4972 Issued in OR
Practice address
35 SE C Street Suite D
Madras, OR 97741
Phone
(541) 675-8002
NPI assigned
Jul 3, 2014
Last updated
Feb 22, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X C4972 OR Primary

Addresses

Primary practice location

35 SE C Street Suite D
Madras, OR 97741

Mailing address

380 S 5TH St # 313
Madras, OR 97741-1352
Phone (541) 675-8002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20240125002218 OR Practitioner - Mental Health Counselor 9032562103 Practice locations: Madras, OR

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Madras, OR 97741
Phone 54167580020000

404 NW Birch LN
Madras, OR 97741-9082

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hearthstone Therapy Services LLC. Mental Health CurrentSince Dec 3, 2023 Accepting new patients

Locations

380 S 5th St
Madras, OR 97741

Organizations & group practices 1

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": "1404345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645488000000",
    "number": "1467868976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 S 5TH ST # 313",
            "city": "MADRAS",
            "state": "OR",
            "postal_code": "977411352",
            "telephone_number": "541-675-8002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 SE C STREET SUITE D",
            "city": "MADRAS",
            "state": "OR",
            "postal_code": "97741",
            "telephone_number": "541-675-8002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAWKINS",
        "first_name": "LAURIE",
        "middle_name": "FAY",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-03",
        "last_updated": "2022-02-22",
        "certification_date": "2022-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C4972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madras, OR

Sources for this page

Verify at the official NPI Registry.