Lauryn Ermilia Drache

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC-23086 Issued in AZ

Practice address

4657 S Lakeshore Dr Ste 1
Tempe, AZ 85282-7170

Phone

(480) 718-1261

NPI assigned

Dec 28, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Lauren Alicia Elizabaeth Brockey Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Breakthrough Behavioral Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Tempe, AZ
  • NPI 1790309896
  NPD (past)

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

{
    "created_epoch": "1640649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1679233837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4657 S LAKESHORE DR STE 1",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827170",
            "telephone_number": "480-525-0058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4657 S LAKESHORE DR STE 1",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827170",
            "telephone_number": "480-718-1261"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1317 Caroline St",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "VA",
            "postal_code": "226012905",
            "country_code": "US",
            "telephone_number": "602-326-6238",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DRACHE",
        "first_name": "LAURYN",
        "middle_name": "ERMILIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-28",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LPC-23086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "BROCKEY",
            "middle_name": "ALICIA ELIZABAETH",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dr Ryan Crandall DC, PLLC
• Dr Sheba Jilani
• Dr Wellspring Az
• Dr. Dale D. Lentz
• Dr.Zelda Hittel, P.C.
• Jessica Drachenberg, MA-MFT, LAMFT
• Rita Dransoff, RN, MS, CPNP
• Jennifer Lynn Dregely, M.C., L.P.C
• Todd Maxwell Dreitzler, M.D.
• Christopher James Drew, DDS

• Mental Health Counselor in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Mental Health Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.