Individual provider Active NPI

Laura Parise Stanislawski, M.S., LPC

  • Mental Health Counselor
  • Medford, OR
National Provider Identifier
1649532623
Registry record updated Sep 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C4126 Issued in OR
Practice address
815 E Jackson St
Medford, OR 97504-6713
Phone
(541) 245-2787
NPI assigned
Jun 14, 2012
Last updated
Sep 16, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C4126 OR Primary

Addresses

Primary practice location

815 E Jackson St
Medford, OR 97504-6713

Mailing address

815 E Jackson St
Medford, OR 97504-6713
Phone (541) 245-2787

Other practice location 1

4951 Glen Echo Way
Central Point, OR 97502-9707
Phone (541) 941-7297

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20240125003408 OR Practitioner - Mental Health Counselor 8123471117 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trinity Counseling Center LLCGroup PAC ID 7113378159, 5 clinicians

Practice addresses (Care Compare)

815 E Jackson St
Medford, OR 97504-6713
Phone (541) 245-2787

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Counseling Center, LLC Mental Health CurrentSince Jan 1, 2024 Accepting new patients
Hutter & Seeley Psychological Services, P.C. PastSince Sep 25, 2019 Accepting new patients

Locations

815 E Jackson St
Medford, OR 97504
Phone (541) 245-2787

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1339632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568592000000",
    "number": "1649532623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 E JACKSON ST",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975046713",
            "telephone_number": "541-245-2787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 E JACKSON ST",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975046713",
            "telephone_number": "541-245-2787"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4951 Glen Echo Way",
            "address_purpose": "LOCATION",
            "city": "Central Point",
            "state": "OR",
            "postal_code": "975029707",
            "country_code": "US",
            "telephone_number": "541-941-7297",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STANISLAWSKI",
        "first_name": "LAURA",
        "middle_name": "PARISE",
        "name_prefix": "Ms.",
        "credential": "M.S., LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-14",
        "last_updated": "2019-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C4126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, OR

Sources for this page

Verify at the official NPI Registry.