Active NPI
Kathleen Marie Laurin, PHD, LP
- Psychologist
- Des Moines, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 001071
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 620006886 | Other | MN | MEDICARE RAILROAD |
| 734406600 | Medicaid | MN |
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
Enrollment records 1
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
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 001071 | IA | MD | Psychologist |
| LP4338 | MN | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Broadlawns Medical Center | Current | Accepting new patients | |
| Des Moines University Osteopathic Medical Center | Current | Accepting new patients | |
| Broadlawns Medical Center | Current | Accepting new patients | |
| Memory and Meaning Clinical Services, LLC | Current | Accepting new patients | |
| Des Moines University Osteopathic Medical Center | Current | 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
- kathleen.laurin.1@11667.direct.athenahealth.com
- 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.
-
- General Acute Care Hospital
- Des Moines, IA
- NPI 1467447508
-
- Family Medicine Physician
- Des Moines, IA
- NPI 1164475760
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- West Des Moines, IA
- NPI 1720777279
-
- Pharmacy
- Des Moines, IA
- NPI 1013197060
-
- Durable Medical Equipment & Medical Supplies
- Des Moines, IA
- NPI 1043380801
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.