Active NPI
Laura Christine Gourlay, M.A.
- Professional Counselor
- Mount Pleasant, MI
National Provider Identifier
1780805143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6401000010
- Practice address
- 615 E Wisconsin St
Mount Pleasant, MI 48858-2767 - Phone
- (989) 773-9600
- Fax
- (989) 772-3387
- NPI assigned
- May 2, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6401000010 | MI | Primary |
Addresses
Primary practice location
615 E Wisconsin St
Mount Pleasant, MI 48858-2767
Mailing address
615 E Wisconsin St
Mount Pleasant, MI 48858-2767
Phone (989) 773-9600
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401000010 | MI | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid-Michigan Family, LTD. | Professional | Past | 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 and National Provider Directory roles.
-
- Professional Counselor
- Mount Pleasant, MI
- NPI 1760550057
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1780805143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 E WISCONSIN ST",
"city": "MOUNT PLEASANT",
"state": "MI",
"postal_code": "488582767",
"telephone_number": "989-773-9600",
"fax_number": "989-772-3387"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 E WISCONSIN ST",
"city": "MOUNT PLEASANT",
"state": "MI",
"postal_code": "488582767",
"telephone_number": "989-773-9600",
"fax_number": "989-772-3387"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOURLAY",
"first_name": "LAURA",
"middle_name": "CHRISTINE",
"credential": "M.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "6401000010",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Pleasant, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.