Organization Active NPI

Laura Dion Counseling Services PA

  • Clinical Social Worker
  • Palm Bay, FL
National Provider Identifier
1750764924
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW8920 Issued in FL
Legal business name
LAURA DION COUNSELING SERVICES PA
Practice address
1561 Breezewood LN NW
Palm Bay, FL 32907-6323
Phone
(321) 693-8671
Fax
(321) 701-1982
NPI assigned
Jul 6, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Authorized official

Name
Laura L Dion, LCSWNPI 1649432592
Title
President
Phone
(321) 693-8671

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X SW8920 FL Primary

Addresses

Primary practice location

1561 Breezewood LN NW
Palm Bay, FL 32907-6323

Mailing address

1561 Breezewood LN NW
Palm Bay, FL 32907-6323
Phone (321) 693-8671

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150819007112 FL Part B Supplier - Clinic/Group Practice 3971818071 Receives reassigned benefits from 1 practitioner
Practice locations: Palm Bay, FL

National Provider Directory

National Provider Directory

Locations

1501 Robert J Conlan Blvd NE
Ste 200
Palm Bay, FL 32905
Phone (321) 693-8671

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1436140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721088000000",
    "number": "1750764924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1561 BREEZEWOOD LN NW",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329076323",
            "telephone_number": "321-693-8671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1561 BREEZEWOOD LN NW",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329076323",
            "telephone_number": "321-693-8671",
            "fax_number": "321-701-1982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURA DION COUNSELING SERVICES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-06",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A",
        "authorized_official_last_name": "DION",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "321-693-8671",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW8920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.