Laura Anna Wade, MA, NCC, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

C5888 Issued in OR

Practice address

1335 Calapooia St SW
Albany, OR 97321-2563

Phone

(458) 201-3122

Fax

(541) 543-2480

NPI assigned

Nov 1, 2018

Last updated

May 10, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1541030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683676800000",
    "number": "1730656216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1335 CALAPOOIA ST SW",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973212563",
            "telephone_number": "808-796-1632",
            "fax_number": "541-543-2480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 CALAPOOIA ST SW",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973212563",
            "telephone_number": "458-201-3122",
            "fax_number": "541-543-2480"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "629 Gore Range Dr",
            "address_purpose": "LOCATION",
            "city": "Severance",
            "state": "CO",
            "postal_code": "805504869",
            "country_code": "US",
            "telephone_number": "808-796-1632",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "539 5th Ave SW",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "OR",
            "postal_code": "973212350",
            "country_code": "US",
            "telephone_number": "458-201-3122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WADE",
        "first_name": "LAURA",
        "middle_name": "ANNA",
        "credential": "MA, NCC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-01",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "HI",
            "license": "1960-17",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "0014984",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C5888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Albany, OR
• Providers in Albany, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2023; 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.