Active NPI
Lauresta Lynne Krause, LCSW-C
- Mental Health Counselor
- Huntingtown, MD
National Provider Identifier
1700859626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- G1010
- Practice address
- 1304 Duchess LN
Huntingtown, MD 20639-2336 - Phone
- (410) 474-4650
- NPI assigned
- Feb 10, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | G1010 | MD | Primary |
Addresses
Primary practice location
1304 Duchess LN
Huntingtown, MD 20639-2336
Mailing address
1304 Duchess Lane
Huntingtown, MD 20639
Phone (410) 474-4650
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G1010 | MD | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trico Corporation | Mental Health | Past | Accepting new patients |
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.
-
- Mental Health Counselor
- Lexington Park, MD
- NPI 1275514671
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340582400000",
"number": "1700859626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1304 DUCHESS LANE",
"city": "HUNTINGTOWN",
"state": "MD",
"postal_code": "20639",
"telephone_number": "410-474-4650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1304 DUCHESS LN",
"city": "HUNTINGTOWN",
"state": "MD",
"postal_code": "206392336",
"telephone_number": "410-474-4650"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRAUSE",
"first_name": "LAURESTA",
"middle_name": "LYNNE",
"credential": "LCSW-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-02-10",
"last_updated": "2012-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MD",
"license": "G1010",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Huntingtown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.