Individual provider Active NPI

Lauren Lansrud, LMHC

  • Mental Health Counselor
  • Riverview, FL
National Provider Identifier
1700459062
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH19386 Issued in FL
Practice address
9777 Tranquility Lake Cir Apt 403
Riverview, FL 33578-4053
Phone
(813) 825-6911
NPI assigned
Jul 22, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 068.0135048TELE VT
Mental Health Counselor 101YM0800X 13185741-6004 UT
Developmental Therapist 222Q00000X MH19386 FL
Mental Health Counselor 101YM0800X MH19386 FL Primary

Addresses

Primary practice location

9777 Tranquility Lake Cir Apt 403
Riverview, FL 33578-4053

Mailing address

9777 Tranquility Lake Cir Apt 403
Riverview, FL 33578-4053
Phone (813) 825-6911

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20250211004071 FL Practitioner - Mental Health Counselor 1052841616 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Brave Health Inc.Group PAC ID 8123458981, 112 clinicians

Practice addresses (Care Compare)

9777 Tranquility Lake Cir
Riverview, FL 33578-4046
Phone (305) 902-6347

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH19386FLMDMental Health Counselor
13185741-6004UTMDMental Health Counselor
068.0135048TELEVTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Brave Health Inc. CurrentSince Feb 1, 2025 Accepting new patients

Locations

1951 NW 7th Ave
Fl 3
Miami, FL 33136
Phone (305) 297-4749

Organizations & group practices 1

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": "1626912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1700459062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9777 TRANQUILITY LAKE CIR APT 403",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335784053",
            "telephone_number": "813-825-6911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9777 TRANQUILITY LAKE CIR APT 403",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335784053",
            "telephone_number": "813-825-6911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANSRUD",
        "first_name": "LAUREN",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-22",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "068.0135048TELE",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "13185741-6004",
            "primary": false
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "FL",
            "license": "MH19386",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH19386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverview, FL

Sources for this page

Verify at the official NPI Registry.