Individual provider Active NPI

Lori Kay Laudenbach, MA, LPCC, NCC

  • Professional Counselor
  • Saint Cloud, MN
National Provider Identifier
1689155624
Registry record updated Mar 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CC00758 Issued in MN
Practice address
2025 Stearns Way Ste 114
Saint Cloud, MN 56303-1275
Phone
(320) 656-7195
Fax
(320) 200-3245
NPI assigned
Aug 28, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X CC00758 MN Primary

Addresses

Primary practice location

2025 Stearns Way Ste 114
Saint Cloud, MN 56303-1275

Mailing address

2838 Atwood Dr
Saint Cloud, MN 56301-9130
Phone (320) 493-8365

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20240219002265 MN Practitioner - Mental Health Counselor 9931543881 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CC00758MNMDProfessional Counselor
758MNMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
St. Cloud Hospital CurrentSince Jan 6, 2024 Accepting new patients
Centracare Clinic CurrentSince Jan 6, 2024 Accepting new patients
Centracare Clinic Current Accepting new patients
Centracare Clinic CurrentSince Jan 6, 2024 Accepting new patients
St. Cloud Hospital CurrentSince Jan 6, 2024 Accepting new patients

Locations

1200 6th Ave N
Saint Cloud, MN 56303
Phone (320) 252-3342

1900 Centracare Cir
Saint Cloud, MN 56303
Phone (320) 252-2422

2025 Stearns Way
Ste 114
Saint Cloud, MN 56303
Phone (320) 255-7195

110 2nd St S
Ste 104
Waite Park, MN 56387
Phone (320) 259-9375

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1535414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553212800000",
    "number": "1689155624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2838 ATWOOD DR",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563019130",
            "telephone_number": "320-493-8365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 STEARNS WAY STE 114",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563031275",
            "telephone_number": "320-656-7195",
            "fax_number": "320-200-3245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAUDENBACH",
        "first_name": "LORI",
        "middle_name": "KAY",
        "credential": "MA, LPCC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-28",
        "last_updated": "2019-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "CC00758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, MN

Sources for this page

Verify at the official NPI Registry.