Lauren Grace Hansen Butler, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY11758 Issued in FL

Practice address

8570 Granite CT Ste 101
Fort Myers, FL 33908-4240

Phone

(352) 483-3769

NPI assigned

Apr 2, 2015

Last updated

Mar 29, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in IN, FL2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Midwest Behavioral Health LLC

  dba dba LifeStance Health

  • Psychiatry Physician
  • Evansville, IN
  • NPI 1427362201
  Medicare reassignment NPD
• Personal Recovery Network LLC

  dba LifeStance Health

  • Psychiatry Physician
  • Stockbridge, GA
  • NPI 1881990869

  FL

  Medicare reassignment NPD
• Lifestance Health

  • Behavior Technician
  • Maitland, FL
  • NPI 1710725544
  NPD (past)
• Brain Performance LLC

  • Forensic Psychologist
  • Indianapolis, IN
  • NPI 1013319656

  Clinical

  NPD (past)

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

{
    "created_epoch": "1427932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680048000000",
    "number": "1609261049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1214 SHENANDOAH CT",
            "city": "MARCO ISLAND",
            "state": "FL",
            "postal_code": "341455024",
            "telephone_number": "630-664-5516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8570 GRANITE CT STE 101",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339084240",
            "telephone_number": "352-483-3769"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10291 N Meridian St Ste 310",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462901083",
            "country_code": "US",
            "telephone_number": "317-672-1970",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3700 W Kilgore Ave",
            "address_purpose": "LOCATION",
            "city": "Muncie",
            "state": "IN",
            "postal_code": "473044810",
            "country_code": "US",
            "telephone_number": "765-289-5437",
            "fax_number": "317-375-7747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "LAUREN",
        "middle_name": "GRACE HANSEN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-02",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "20043121A",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY11758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David R Butler, DO
• Heather Butler
• James F Butler, DO
• Jodie Butler
• Jordana Butler, PA-C
• Leslie Anne Butler, MPT, MS, MTC
• Maria Butler, ND
• Jose M Butron
• Richard John Butzler, LMHC,CAP
• Ryan Daniel Buyea

• Clinical Psychologist in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.