Individual provider Active NPI

Laurie Marcine Barnes

  • Counselor
  • Elk Grove, CA
National Provider Identifier
1770647414
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
9412 Big Horn Blvd
Elk Grove, CA 95758-1101
Phone
(916) 879-2178
Fax
(916) 226-2804
NPI assigned
Dec 20, 2006
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Counselor 101Y00000X Primary

Addresses

Primary practice location

9412 Big Horn Blvd
Elk Grove, CA 95758-1101

Mailing address

9412 Big Horn Blvd
Elk Grove, CA 95758-1101
Phone (916) 879-2178

Other practice location 1

8801 Folsom Blvd Ste 210
Sacramento, CA 95826-3249
Phone (916) 388-6488

Other practice location 2

8801 Folsom Blvd Ste 210
Sacramento, CA 95826-3249
Phone (916) 388-6488

Other practice location 3

9412 Big Horn Blvd
Elk Grove, CA 95758-1101
Phone (916) 879-2178

Other identifiers 1

IdentifierTypeStateIssuer
101YM0800XOtherCAMENTAL HEALTH SPECIALIST

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

Practice roles

OrganizationSpecialtyStatusNew patients
River Oak Center for Children PastSince Dec 15, 2019 Accepting new patients

Organizations & group practices 1

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": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1770647414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9412 BIG HORN BLVD",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957581101",
            "telephone_number": "916-879-2178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9412 BIG HORN BLVD",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957581101",
            "telephone_number": "916-879-2178",
            "fax_number": "916-226-2804"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8801 Folsom Blvd Ste 210",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958263249",
            "country_code": "US",
            "telephone_number": "916-388-6488",
            "fax_number": "916-388-6434",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8801 Folsom Blvd Ste 210",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958263249",
            "country_code": "US",
            "telephone_number": "916-388-6488",
            "fax_number": "916-388-6434",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9412 Big Horn Blvd",
            "address_purpose": "LOCATION",
            "city": "Elk Grove",
            "state": "CA",
            "postal_code": "957581101",
            "country_code": "US",
            "telephone_number": "916-879-2178",
            "fax_number": "916-226-2804",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARNES",
        "first_name": "LAURIE",
        "middle_name": "MARCINE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-20",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MENTAL HEALTH SPECIALIST",
            "identifier": "101YM0800X",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.