Larae M Jome, PH.D.

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

LP5850 Issued in MN

Practice address

7026 E Fish Lake Rd
Maple Grove, MN 55311-2832

Phone

(763) 772-6272

NPI assigned

Mar 7, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1362614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465257600000",
    "number": "1699016113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6340 ITHACA LN N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553114146",
            "telephone_number": "763-772-6272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7026 E FISH LAKE RD",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553112832",
            "telephone_number": "763-772-6272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOME",
        "first_name": "LARAE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-07",
        "last_updated": "2016-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NY",
            "license": "015031",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MN",
            "license": "LP5850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Alyse Johnson
• Rachel Elizabeth Johnson, APRN, DNP, AGNP-C
• Sara Elizabeth Johnson, MSW, LICSW
• Valerie Johnson, P.T.
• Darrel Howard Johnsrud, D.D.S.
• Candice Renne Jones
• Christopher James Jones, MD
• Elise Nicole Jones, DPT
• Lauren Riley Jones
• Mackenzie Nicole Jones, DPT

• Counseling Psychologist in Maple Grove, MN
• Providers in Maple Grove, MN by specialty
• Counseling Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2016; 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.