Individual provider Active NPI

Laura Erkeneff

  • Marriage & Family Therapist
  • Grants Pass, OR
National Provider Identifier
1558771501
Registry record updated Jan 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
T0942 Issued in OR
Practice address
215 SE 6TH St Ste 210
Grants Pass, OR 97526-2471
Phone
(541) 660-9215
NPI assigned
Apr 30, 2014
Last updated
Jan 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X T0942 OR Primary

Addresses

Primary practice location

215 SE 6TH St Ste 210
Grants Pass, OR 97526-2471

Mailing address

215 SE 6TH St Ste 210
Grants Pass, OR 97526-2471
Phone (541) 660-9215

Other names 1

  • Miss Laura Wassink Other name

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
I20241003001494 OR Practitioner - Marriage and Family Therapist 3779014527 Practice locations: Grants Pass, OR

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

215 SE 6TH St
Suite 210
Grants Pass, OR 97526-2471
Phone (541) 600-9215

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1398816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737072000000",
    "number": "1558771501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 SE 6TH ST STE 210",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975262471",
            "telephone_number": "541-660-9215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 SE 6TH ST STE 210",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975262471",
            "telephone_number": "541-660-9215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERKENEFF",
        "first_name": "LAURA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-30",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OR",
            "license": "T0942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "WASSINK",
            "prefix": "MISS",
            "credential": "LMFT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Grants Pass, OR

Sources for this page

Verify at the official NPI Registry.