Individual provider Active NPI

Laura C Strom, M.S., LMFT, LPCC

  • Marriage & Family Therapist
  • Santa Rosa, CA
National Provider Identifier
1730425653
Registry record updated Dec 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC49174 Issued in CA
Practice address
3442 Mendocino Ave
Suite a, BLDG E
Santa Rosa, CA 95403-2221
Phone
(707) 889-9168
Fax
(707) 865-9707
NPI assigned
Dec 20, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC149 CA
Marriage & Family Therapist 106H00000X MFC49174 CA Primary

Addresses

Primary practice location

3442 Mendocino Ave
Suite a, BLDG E
Santa Rosa, CA 95403-2221

Mailing address

PO Box 353
Monte Rio, CA 95462-0353
Phone (707) 889-9168

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LPC149CAMDMental Health Counselor
MFC49174CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1355961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355961600000",
    "number": "1730425653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 353",
            "city": "MONTE RIO",
            "state": "CA",
            "postal_code": "954620353",
            "telephone_number": "707-889-9168",
            "fax_number": "707-865-9707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3442 MENDOCINO AVE",
            "address_2": "SUITE A, BLDG E",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954032221",
            "telephone_number": "707-889-9168",
            "fax_number": "707-865-9707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STROM",
        "first_name": "LAURA",
        "middle_name": "C",
        "credential": "M.S., LMFT, LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-20",
        "last_updated": "2012-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "LPC149",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC49174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

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

Verify at the official NPI Registry.