Mary E Lajeunesse, LPE

Primary specialty

PsychologistTaxonomy code 103T00000X

License

13-10EI Issued in AR

Practice address

2850 Prince St Ste 53
Conway, AR 72034-3600

Phone

(501) 764-3002

NPI assigned

Sep 27, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Mary Williams Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Central Arkansas Testing & Therapy Center

  • Psychologist
  • Conway, AR
  • NPI 1699482281

  Mental Health

  NPD
• Therapy Assessment Center LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Conway, AR
  • NPI 1487492153
  NPD (past)
• Therapy Assessment Center, LLC

  • Group Psychotherapy Psychologist
  • Conway, AR
  • NPI 1093184210
  NPD (past)

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

{
    "created_epoch": "1348704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712620800000",
    "number": "1649521840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 PRINCE ST STE 53",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720343600",
            "telephone_number": "501-764-3002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 PRINCE ST STE 53",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720343600",
            "telephone_number": "501-764-3002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAJEUNESSE",
        "first_name": "MARY",
        "middle_name": "E",
        "credential": "LPE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-27",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "11-46AE PL",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "AR",
            "license": "13-10EI",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "WILLIAMS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Alyssa Nell Lambert, DDS

• Psychologist in Conway, AR
• Providers in Conway, AR by specialty
• Psychologist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; 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.