Individual provider Active NPI

Laurie Beth Troumbly, MS, LPCC

  • Mental Health Counselor
  • Grand Rapids, MN
National Provider Identifier
1578080875
Registry record updated Sep 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
101YM0800X Issued in MN
Practice address
813 S Pokegama Ave Ste B
Grand Rapids, MN 55744-3934
Phone
(218) 999-9432
NPI assigned
Aug 28, 2017
Last updated
Sep 5, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2019

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 101YM0800X MN Primary

Addresses

Primary practice location

813 S Pokegama Ave Ste B
Grand Rapids, MN 55744-3934

Mailing address

813 S Pokegama Ave Ste B
Grand Rapids, MN 55744-3934
Phone (218) 999-9432

Other practice location 1

1215 SE 7th Ave
Grand Rapids, MN 55744-4201
Phone (218) 327-1105

Other identifiers 1

IdentifierTypeStateIssuer
1164610986MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 24, 2024 through Jul 24, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
101YM0800XMNMDMental Health Counselor
1593MNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Beyond Counseling LLC Mental Health CurrentSince Oct 20, 2019 Accepting new patients

Locations

813 S Pokegama Ave
Ste B
Grand Rapids, MN 55744
Phone (218) 259-2370

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": "1503878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567641600000",
    "number": "1578080875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 S POKEGAMA AVE STE B",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557443934",
            "telephone_number": "218-999-9432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 S POKEGAMA AVE STE B",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557443934",
            "telephone_number": "218-999-9432"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1215 SE 7th Ave",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MN",
            "postal_code": "557444201",
            "country_code": "US",
            "telephone_number": "218-327-1105",
            "fax_number": "218-327-1105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TROUMBLY",
        "first_name": "LAURIE",
        "middle_name": "BETH",
        "credential": "MS, LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-28",
        "last_updated": "2019-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "101YM0800X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1164610986",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MN

Sources for this page

Verify at the official NPI Registry.