Laurine Lynn Price
Individual provider Active NPI Mental Health Counselor · Avoca, IA
NPI 1720577869 · NPPES record last updated May 3, 2018
Key facts
- NPI
- 1720577869
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 091067 (IA)
- Practice address
- 118 N Elm St
Avoca, IA 51521-3510 - Phone
- (712) 307-6014
- NPI assigned
- May 3, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Haus Therapy Services
Zion Integrated Behavioral Health Services Inc
Practice addresses (Care Compare)
1370 NW 18TH St
Suite 104
Ankeny, IA 50023-9243
Phone (515) 316-5549
2307 Olive St
Atlantic, IA 50022-9768
Phone (712) 243-2606
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231228002399 | IA | Practitioner - Mental Health Counselor | 6709236078 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Zion Integrated Behavioral Health Services Inc. | Current |
Accepting new patients | |
| Haus Therapy Services | Mental Health | Current |
Accepting new patients |
| Therapy Place, Inc. | Past | Accepting new patients | |
| Healthy Homes Family Services, Inc | Mental Health | Past | Accepting new patients |
Locations
2307 Olive St
Atlantic, IA 50022
Phone (712) 243-2606
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 091067 | IA | Yes |
Addresses
Primary practice location
118 N Elm St
Avoca, IA 51521-3510
Mailing address
1905 Hillcrest Dr
Atlantic, IA 50022-2852
Phone (712) 249-6688
NPI Registry JSON
{
"created_epoch": "1525305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525305600000",
"number": "1720577869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1905 HILLCREST DR",
"city": "ATLANTIC",
"state": "IA",
"postal_code": "500222852",
"telephone_number": "712-249-6688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "118 N ELM ST",
"city": "AVOCA",
"state": "IA",
"postal_code": "515213510",
"telephone_number": "712-307-6014"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRICE",
"first_name": "LAURINE",
"middle_name": "LYNN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-03",
"last_updated": "2018-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IA",
"license": "091067",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Avoca, IA
- Casie McGee
- Christina Ordile
- Amy S Osbahr
- Our Zealous Opportunity for a Nurturing Environment (Our Z.O.N.E), LLC
- Kristin Parker
- Karen A. Rodriguez
- Shawn Sempek
- Shelby County Chris a Myrtue Memorial Hospital
- Tracy Nedine Van Zee
- Jordan Vetter
All providers in Avoca, IA · Mental Health Counselor in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 3, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.