Individual provider Active NPI

Laura Sansum, LAC

  • Mental Health Counselor
  • Jamesburg, NJ
National Provider Identifier
1518658368
Registry record updated Mar 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
37PC01235200 Issued in NJ
Practice address
79 E Railroad Ave
Jamesburg, NJ 08831-1207
Phone
(732) 561-8555
NPI assigned
May 15, 2023
Last updated
Mar 19, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2026

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 37PC01235200 NJ Primary
Mental Health Counselor 101YM0800X 37AC00719200 NJ

Addresses

Primary practice location

79 E Railroad Ave
Jamesburg, NJ 08831-1207

Mailing address

79 E Railroad Ave
Jamesburg, NJ 08831-1207
Phone (732) 561-8555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20260421002249 NJ Practitioner - Mental Health Counselor 6507332004 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Theracorp, LLCGroup PAC ID 8426319104, 20 clinicians

Practice addresses (Care Compare)

79 E Railroad Ave
Jamesburg, NJ 08831-1207
Phone (732) 561-8555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37AC00719200NJMDMental Health Counselor
37PC01235200NJMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Theracorp, LLC Mental Health CurrentSince May 21, 2023 Accepting new patients
Theracorp, LLC PastSince May 21, 2023 Accepting new patients

Locations

86 Brunswick Woods Dr
East Brunswick, NJ 08816
Phone (732) 561-8555

271 US Highway 46
Ste C209
Fairfield, NJ 07004
Phone (732) 561-8555

203 Candlewood Cmns
Howell, NJ 07731
Phone (732) 561-8555

79 E Railroad Ave
Jamesburg, NJ 08831
Phone (732) 561-8555

1696 Route 88
Wall Township, NJ 08724
Phone (732) 561-8555

Organizations & group practices 2

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": "1684108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773878400000",
    "number": "1518658368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 E RAILROAD AVE",
            "city": "JAMESBURG",
            "state": "NJ",
            "postal_code": "088311207",
            "telephone_number": "732-561-8555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 E RAILROAD AVE",
            "city": "JAMESBURG",
            "state": "NJ",
            "postal_code": "088311207",
            "telephone_number": "732-561-8555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANSUM",
        "first_name": "LAURA",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-15",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37PC01235200",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37AC00719200",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamesburg, NJ

Sources for this page

Verify at the official NPI Registry.