Laura E Diaz-Forno, MA, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

60304 Issued in TX

Practice address

7220 Bob Bullock Loop Ste 304
Laredo, TX 78041

Phone

(956) 251-4204

NPI assigned

Nov 4, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2000

Medicare assignment

May accept Medicare assignment

Group practices

Border Region MH Mr Community CenterGroup PAC ID 0648207381, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Border Region MH Mr Community Center

  • Psychiatry Physician
  • Laredo, TX
  • NPI 1124060173
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1257292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530057600000",
    "number": "1740517218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1837 DENMARK LN",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780458385",
            "telephone_number": "956-251-4204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7220 BOB BULLOCK LOOP STE 304",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "78041",
            "telephone_number": "956-251-4204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ-FORNO",
        "first_name": "LAURA",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-04",
        "last_updated": "2018-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "60304",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2070781",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Kaylynn Dew, PA
• Dguez Solution
• Di and Dre Therapy, PLLC (Therapeutic Specialists of Laredo)
• Patsy Margarita Diaz Delgado
• Pedro Diaz Santana, MD
• Abraham Heriberto Diaz III, LCDC
• Adolfo Dwight Diaz, MD
• Gabriela Diaz
• Horacio Alberto Diaz, MD
• Luis Diaz, LPC

• Professional Counselor in Laredo, TX
• Providers in Laredo, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.