Active NPI
Laura J. Dallalio-Crotty
- Mental Health Counselor
- Owenton, KY
National Provider Identifier
1740352764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 1033-20
- Practice address
- 8930 Georgetown Rd
Owenton, KY 40359-8900 - Phone
- (502) 797-6890
- NPI assigned
- Nov 14, 2006
- Last updated
- Sep 19, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH-11777 | FL | |
| Mental Health Counselor | 101YM0800X | 1033-20 | KY | Primary |
Addresses
Primary practice location
8930 Georgetown Rd
Owenton, KY 40359-8900
Mailing address
8930 Georgetown Rd
Owenton, KY 40359-8900
Phone (502) 290-0660
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
| License | State | Type | Specialty |
|---|---|---|---|
| MH-11777 | FL | MD | Mental Health Counselor |
| 1033-20 | KY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695081600000",
"number": "1740352764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8930 GEORGETOWN RD",
"city": "OWENTON",
"state": "KY",
"postal_code": "403598900",
"telephone_number": "502-290-0660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8930 GEORGETOWN RD",
"city": "OWENTON",
"state": "KY",
"postal_code": "403598900",
"telephone_number": "502-797-6890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DALLALIO-CROTTY",
"first_name": "LAURA",
"middle_name": "J.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-14",
"last_updated": "2023-09-19",
"certification_date": "2023-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH-11777",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "KY",
"license": "1033-20",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Owenton, KY
- Cpharma Inc (Cull Family Pharmacy)
- Aimee Marie Crosby- Wilson, M.S., CCC-SLP
- Steven Matthew Cull, PHARM.D.
- Cumberland Family Medical Center Inc (Women's Care of the Bluegrass)
- Shellie Ryan Cunningham, RD
- Erica Alise Downton, PHARMD
- Candice Michelle Gibson, PMHNP-BC
- Emily Hebbeler
- Elizabeth Hopkins, APRN
- Anne Hughes, BA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.