Individual provider Active NPI

Laura Jane Landis, MA, LPC

  • Professional Counselor
  • Louisville, CO
National Provider Identifier
1619983269
Registry record updated Dec 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC.0011421 Issued in CO
Practice address
225 W S Boulder Rd Ste 103
Louisville, CO 80027-1194
Phone
(720) 868-9641
NPI assigned
Aug 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC.0011421 CO Primary

Addresses

Primary practice location

225 W S Boulder Rd Ste 103
Louisville, CO 80027-1194

Mailing address

225 W S Boulder Rd Ste 103
Louisville, CO 80027-1194
Phone (720) 868-9641

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20240105003380 CO Practitioner - Mental Health Counselor 3779934526 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Chriesl Infusion Centers LLCGroup PAC ID 4183048754, 14 clinicians
ThornwoodwellnessllcGroup PAC ID 4284094137, 17 clinicians

Practice addresses (Care Compare)

1444 S Potomac St
Suite 220
Aurora, CO 80012-4509
Phone (720) 400-7025

225 W S Boulder Rd
Suite 103
Louisville, CO 80027-1194
Phone (720) 868-9641

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LPC.0011421COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Thornwoodwellnessllc CurrentSince Jan 1, 2024 Accepting new patients
Thornwoodwellnessllc CurrentSince Jan 1, 2024 Accepting new patients

Locations

225 W South Boulder Rd
Ste 103
Louisville, CO 80027
Phone (720) 709-2810

Interoperability endpoints

  • Direct secure messaging: laura.landis.1@21564.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703116800000",
    "number": "1619983269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 W S BOULDER RD STE 103",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800271194",
            "telephone_number": "720-868-9641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 W S BOULDER RD STE 103",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800271194",
            "telephone_number": "720-868-9641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDIS",
        "first_name": "LAURA",
        "middle_name": "JANE",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0011421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, CO

Sources for this page

Verify at the official NPI Registry.