Lara Waldenmaier LLC

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

LARA WALDENMAIER LLC

Practice address

5900 Som Center Rd Ste 12-203
Willoughby, OH 44094-3086

Phone

(440) 540-5258

NPI assigned

Apr 20, 2021

Last updated

Apr 20, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Lara Waldenmaier, MA, LPCCNPI 1396108445

Title

Professional Clinical Counselor

Phone

(440) 525-6825

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lara Waldenmaier

  • Counselor
  • Willowick, OH
  • NPI 1396108445
  NPD Authorized official

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

{
    "created_epoch": "1618876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618876800000",
    "number": "1629659610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 SOM CENTER RD STE 12-203",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440943086",
            "telephone_number": "440-540-5258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 SOM CENTER RD STE 12-203",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440943086",
            "telephone_number": "440-540-5258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARA WALDENMAIER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-20",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A",
        "authorized_official_last_name": "WALDENMAIER",
        "authorized_official_first_name": "LARA",
        "authorized_official_title_or_position": "PROFESSIONAL CLINICAL COUNSELOR",
        "authorized_official_telephone_number": "440-525-6825",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA, LPCC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESOURCE",
            "identifier": "CS1625600131",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0185639",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "13815586",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie L Lamarco, PCC
• James Scott Lane, M.D.
• Katherine L Lange, LPN
• Kimberly Ann Langston
• Mary Ann Kovacs Lannoch, LISW
• Mishael Larkin
• Laurelwood Associates Inc
• Lauren Kisley-Dooms, DMD, LLC
• Sandra Wolfe Lavelle, NP
• Nancy J. Lazarescu, D.O.

• Counselor in Willoughby, OH
• Providers in Willoughby, OH by specialty
• Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.