Active NPI
Laura Beth Ward, LMCH, CAP, EMDR
- Professional Counselor
- West Palm Beach, FL
National Provider Identifier
1609497692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 12863
- Practice address
- 1700 N Dixie Hwy
West Palm Beach, FL 33407-6504 - Phone
- (561) 596-0894
- NPI assigned
- Apr 30, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 12863 | FL | Primary |
Addresses
Primary practice location
1700 N Dixie Hwy
West Palm Beach, FL 33407-6504
Mailing address
1700 N Dixie Hwy
West Palm Beach, FL 33407-6504
Phone (561) 596-0894
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 123098 | Medicaid | FL |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12863 | FL | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591056000000",
"number": "1609497692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 N DIXIE HWY",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334076504",
"telephone_number": "561-596-0894"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 N DIXIE HWY",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334076504",
"telephone_number": "561-596-0894"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARD",
"first_name": "LAURA",
"middle_name": "BETH",
"credential": "LMCH, CAP, EMDR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-04-30",
"last_updated": "2020-06-02",
"certification_date": "2020-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "FL",
"license": "12863",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "123098",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.