Individual provider Active NPI

Lauren A Lanzon, BCBA, LISW-CP

  • Behavior Analyst
  • Pauline, SC
National Provider Identifier
1780169565
Registry record updated Jan 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-18-32781 Issued in SC
Practice address
224 Thorncrest Dr
Pauline, SC 29374-1626
Phone
(864) 590-0458
NPI assigned
Sep 27, 2018
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

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

LicenseStateTypeSpecialty
13443SCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Behavioral Innovations, LLC Behavior Analyst Past Accepting new patients

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 13443 SC
Behavior Analyst 103K00000X 1-18-32781 SC Primary

Addresses

NPPES NPI Registry

Primary practice location

224 Thorncrest Dr
Pauline, SC 29374-1626

Mailing address

35 Michell Dr
Taylors, SC 29687-5339
Phone (540) 892-6981

Other practice location 1

905 E Washington St
Greenville, SC 29601-3126
Phone (864) 301-1031

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 20, 2021.

{
    "created_epoch": "1538006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611100800000",
    "number": "1780169565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 MICHELL DR",
            "city": "TAYLORS",
            "state": "SC",
            "postal_code": "296875339",
            "telephone_number": "540-892-6981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 THORNCREST DR",
            "city": "PAULINE",
            "state": "SC",
            "postal_code": "293741626",
            "telephone_number": "864-590-0458"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "905 E Washington St",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296013126",
            "country_code": "US",
            "telephone_number": "864-301-1031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANZON",
        "first_name": "LAUREN",
        "middle_name": "A",
        "credential": "BCBA, LISW-CP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-27",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "13443",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "SC",
            "license": "1-18-32781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pauline, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2021; 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.