Individual provider Active NPI

Laura Ann Meyer, PHD, LMFT, LMHC

  • Mental Health Counselor
  • Plantation, FL
National Provider Identifier
1730642653
Registry record updated Jul 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH15012 Issued in FL
Practice address
160 S University Dr Ste B
Plantation, FL 33324-3326
Phone
(954) 884-0050
NPI assigned
Apr 8, 2019
Last updated
Jul 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MT3604 FL
Mental Health Counselor 101YM0800X MH15012 FL Primary

Addresses

Primary practice location

160 S University Dr Ste B
Plantation, FL 33324-3326

Mailing address

3325 Hollywood Blvd Ste 304
Hollywood, FL 33021-6937
Phone (954) 884-0050

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
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
MH15012FLMDMental Health Counselor
MT3604FLMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Expeditions in Motherhood, Inc Mental Health Current Accepting new patients

Locations

3325 Hollywood Blvd
Ste 304
Hollywood, FL 33021
Phone (954) 408-4410

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": "1554681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658966400000",
    "number": "1730642653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3325 HOLLYWOOD BLVD STE 304",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216937",
            "telephone_number": "954-884-0050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 S UNIVERSITY DR STE B",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333243326",
            "telephone_number": "954-884-0050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYER",
        "first_name": "LAURA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PHD, LMFT, LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-08",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT3604",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH15012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.