Active NPI
Lawrence C Katz, PH. D.
- Counseling Psychologist
- Enterprise, AL
National Provider Identifier
1497795645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 962
- Practice address
- 1275 James Dr
Suite a
Enterprise, AL 36330-2063 - Phone
- (334) 308-1940
- Fax
- (334) 308-1942
- NPI assigned
- Jun 7, 2006
- 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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 962 | AL | Primary |
Addresses
Primary practice location
1275 James Dr
Suite a
Enterprise, AL 36330-2063
Mailing address
105 E Maple Ave
Geneva, AL 36340-1615
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 890015460 | Medicaid | AL | |
| 051554131 | Other | AL | CAHABA GBA |
| 51524148 | Other | AL | BLUE CROSS BLUE SHIELD |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 962 | AL | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254096000000",
"number": "1497795645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 E MAPLE AVE",
"city": "GENEVA",
"state": "AL",
"postal_code": "363401615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1275 JAMES DR",
"address_2": "SUITE A",
"city": "ENTERPRISE",
"state": "AL",
"postal_code": "363302063",
"telephone_number": "334-308-1940",
"fax_number": "334-308-1942"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KATZ",
"first_name": "LAWRENCE",
"middle_name": "C",
"credential": "PH. D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-07",
"last_updated": "2009-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "AL",
"license": "962",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "890015460",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAHABA GBA",
"identifier": "051554131",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "51524148",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Enterprise, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.