Active NPI
Laura Jane Landis, MA, LPC
- Professional Counselor
- Louisville, CO
National Provider Identifier
1619983269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC.0011421
- 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
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 | 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| LPC.0011421 | CO | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thornwoodwellnessllc | Current | Accepting new patients | |
| Thornwoodwellnessllc | Current | Accepting new patients |
Locations
225 W South Boulder Rd
Ste 103
Louisville, CO 80027
Phone (720) 709-2810
Interoperability endpoints
- 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.
-
- Clinical Social Worker
- Louisville, CO
- NPI 1467153809
-
- Behavioral Neurology & Neuropsychiatry Physician
- Aurora, CO
- NPI 1669098778
-
- Mental Health Counselor
- Broomfield, CO
- NPI 1811727720
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.