Individual provider Active NPI

Kathleen Marie Laurin, PHD, LP

  • Psychologist
  • Des Moines, IA
National Provider Identifier
1689650657
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
001071 Issued in IA
Practice address
3200 Grand Ave
Des Moines, IA 50312-4104
Phone
(515) 271-1716
Fax
(515) 271-1726
NPI assigned
Dec 21, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X LP4338 MN
Psychologist 103T00000X 001071 IA Primary

Addresses

Primary practice location

3200 Grand Ave
Des Moines, IA 50312-4104

Mailing address

3200 Grand Ave
Des Moines, IA 50312-4104
Phone (515) 271-1716

Other identifiers 2

IdentifierTypeStateIssuer
620006886OtherMNMEDICARE RAILROAD
734406600MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20081025000069 IA Practitioner - Clinical Psychologist 1850459496 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
University of Wisconsin School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Broadlawns Medical CenterGroup PAC ID 3678466166, 302 clinicians
Des Moines University Osteopathic Medical CenterGroup PAC ID 6002713443, 36 clinicians

Practice addresses (Care Compare)

1801 Hickman Rd
Des Moines, IA 50314-1548
Phone (515) 282-2200

1801 Hickman Rd
Des Moines, IA 50314-1597

3200 Grand Ave
FL 5
Des Moines, IA 50312-4104
Phone (515) 271-1707

6201 Ctr St
West Des Moines, IA 50266-5836
Phone (515) 218-9979

Merit-based Incentive Payment System (MIPS)

Final score
90.61 of 100Reported as group
Quality
75.16
Promoting interoperability
100
Improvement activities
40
Cost
76.87

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
001071IAMDPsychologist
LP4338MNMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Broadlawns Medical Center CurrentSince Sep 1, 2008 Accepting new patients
Des Moines University Osteopathic Medical Center CurrentSince Apr 22, 2024 Accepting new patients
Broadlawns Medical Center CurrentSince Sep 1, 2008 Accepting new patients
Memory and Meaning Clinical Services, LLC CurrentSince May 5, 2023 Accepting new patients
Des Moines University Osteopathic Medical Center CurrentSince Apr 22, 2024 Accepting new patients
Broadlawns Medical Center Psychologist Past Accepting new patients

Locations

1801 Hickman Rd
Bldg First
Des Moines, IA 50314

3200 Grand Ave
Des Moines, IA 50312
Phone (515) 271-1700

1801 Hickman Rd
Des Moines, IA 50314
Phone (515) 282-2200

1555 Hull Ave
Des Moines, IA 50316
Phone (515) 262-5639

3200 Grand Ave
Fl 5
Des Moines, IA 50312
Phone (515) 271-1707

Interoperability endpoints

  • Direct secure messaging: kathleen.laurin.1@11667.direct.athenahealth.com
  • Direct secure messaging: laurin.kathleen@cynchealthdsm.org

Organizations & group practices 6

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": "1135123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1689650657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 GRAND AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503124104",
            "telephone_number": "515-271-1716",
            "fax_number": "515-271-1726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 GRAND AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503124104",
            "telephone_number": "515-271-1716",
            "fax_number": "515-271-1726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAURIN",
        "first_name": "KATHLEEN",
        "middle_name": "MARIE",
        "credential": "PHD, LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-21",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP4338",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IA",
            "license": "001071",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "620006886",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "734406600",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.