Individual provider Active NPI

Laurie Jones

  • Professional Counselor
  • Henderson, TX
National Provider Identifier
1710377114
Registry record updated Jul 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
68580 Issued in TX
Practice address
108 N Marshall St Ste 4
Henderson, TX 75652-3187
Phone
(903) 658-0006
NPI assigned
Jan 23, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 4252 AL
Professional Counselor 101YP2500X 68580 TX Primary

Addresses

Primary practice location

108 N Marshall St Ste 4
Henderson, TX 75652-3187

Mailing address

PO Box 1922
Henderson, TX 75653-1922

Other practice location 1

2335 Pansy St SW
Huntsville, AL 35801-3828
Phone (256) 519-9144

Other names 1

  • Laurie Gaddy Former name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
4252ALMDProfessional Counselor
68580TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Laurie Jones Professional Current Accepting new patients

Locations

2335 Pansy St SW
Huntsville, AL 35801
Phone (256) 519-9144

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1421971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658275200000",
    "number": "1710377114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1922",
            "city": "HENDERSON",
            "state": "TX",
            "postal_code": "756531922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 N MARSHALL ST STE 4",
            "city": "HENDERSON",
            "state": "TX",
            "postal_code": "756523187",
            "telephone_number": "903-658-0006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2335 Pansy St SW",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "AL",
            "postal_code": "358013828",
            "country_code": "US",
            "telephone_number": "256-519-9144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "LAURIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-23",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "4252",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "68580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURIE",
            "last_name": "GADDY",
            "credential": "M.ED, LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Henderson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2022; 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.