Laura Forrester, LPC-S
Individual provider Active NPI Professional Counselor · Dallas, TX
NPI 1619613627 · NPPES record last updated Nov 6, 2025
Key facts
- NPI
- 1619613627
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 70591 (TX)
- Practice address
- 4144 N Central Expy Ste 850
Dallas, TX 75204-3226 - Phone
- (512) 956-6463
- Fax
- (866) 653-5142
- NPI assigned
- May 11, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Deep Eddy Psychotherapy Management, LLC
Practice addresses (Care Compare)
4144 N Central Expy
Suite 850
Dallas, TX 75204-3226
Phone (512) 956-6463
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241002001265 | TX | Practitioner - Mental Health Counselor | 4082145933 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 70591 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deep Eddy Psychotherapy Management, LLC | Current |
Accepting new patients | |
| Deep Centered Psychiatry PLLC | Past | Accepting new patients |
Locations
508 Deep Eddy Ave
Austin, TX 78703
Phone (512) 469-0889
4144 N Central Expy
Ste 850
Dallas, TX 75204
Phone (214) 531-4943
8350 N Central Expy
Ste 1900
Dallas, TX 75206
Phone (469) 942-9483
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 70591 | TX | Yes |
Addresses
Primary practice location
4144 N Central Expy Ste 850
Dallas, TX 75204-3226
Mailing address
9872 San Lea Dr
Dallas, TX 75228-3918
Phone (214) 460-8984
Other practice location 1
9872 San Lea Dr
Dallas, TX 75228-3918
Phone (214) 974-5228
Other names
- Laura Dodge
Other providers in Dallas, TX
- Joseph Luis Formella
- Formula Wellness PLLC
- Anthony Peter Fornito
- Brad Michael Forquer
- Forrest C. Brown MD,PA
- Madeline Forst
- Donna Marie Forster
- Nell W Forster
- Earl Nelson Forsyth
- Jennifer Anne Forsyth
All providers in Dallas, TX · Professional Counselor in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 6, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.