Individual provider Active NPI

Lauren Alexis Henrikson, PH.D

  • Clinical Psychologist
  • Cary, NC
National Provider Identifier
1760836753
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6316 Issued in NC
Practice address
1513 Walnut St
Cary, NC 27511-5972
Phone
(919) 626-3882
NPI assigned
Apr 16, 2016
Last updated
Sep 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 6316 NC
Clinical Psychologist 103TC0700X 37077 TX
Clinical Psychologist 103TC0700X 6316 NC Primary

Addresses

Primary practice location

1513 Walnut St
Cary, NC 27511-5972

Mailing address

1513 Walnut St
Cary, NC 27511-5972
Phone (919) 626-3882

Other practice location 1

23 Sunnybrook Rd
Raleigh, NC 27610-1855
Phone (919) 235-6510

Other practice location 2

210 Ashville Ave
Cary, NC 27518-6676
Phone (919) 350-9625

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241112002146 NC Practitioner - Psychologist Billing Independently 7810249257 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wakemed Specialists Group LLCGroup PAC ID 2466788377, 868 clinicians

Practice addresses (Care Compare)

23 Sunnybrook Rd
Raleigh, NC 27610-1855
Phone (919) 350-6002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
6316NCMDClinical Psychologist
37077TXMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Wakemed Specialists Group LLC CurrentSince Sep 9, 2024 Accepting new patients
Wakemed Specialists Group, LLC CurrentSince Sep 9, 2024 Accepting new patients
Wakemed Specialists Group, LLC Current Accepting new patients

Locations

210 Ashville Ave
Cary, NC 27518
Phone (919) 235-6460

23 Sunnybrook Rd
Raleigh, NC 27610
Phone (919) 350-6002

3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000

Organizations & group practices 3

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": "1460764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1760836753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1513 WALNUT ST",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275115972",
            "telephone_number": "919-626-3882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1513 WALNUT ST",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275115972",
            "telephone_number": "919-626-3882"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23 Sunnybrook Rd",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276101855",
            "country_code": "US",
            "telephone_number": "919-235-6510",
            "fax_number": "919-231-0314",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "210 Ashville Ave",
            "address_purpose": "LOCATION",
            "city": "Cary",
            "state": "NC",
            "postal_code": "275186676",
            "country_code": "US",
            "telephone_number": "919-350-9625",
            "fax_number": "919-851-6757",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENRIKSON",
        "first_name": "LAUREN",
        "middle_name": "ALEXIS",
        "credential": "PH.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-16",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "6316",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "37077",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "6316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.