Individual provider Active NPI

Laurie Jo Rasmussen, CMHC

  • Mental Health Counselor
  • Roy, UT
National Provider Identifier
1780901579
Registry record updated Sep 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
10160739-6004 Issued in UT
Practice address
5564 S 3150 W
Roy, UT 84067-9716
Phone
(435) 720-2174
NPI assigned
May 3, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2023

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC-18650 AZ
Mental Health Counselor 101YM0800X BBH-LCPC-55807 MT
Mental Health Counselor 101YM0800X 10160739-6004 UT Primary
Mental Health Counselor 101YM0800X LCPC-6862 ID
Mental Health Counselor 101YM0800X LPC-1717 WY
Mental Health Counselor 101YM0800X CP1122-R NV

Addresses

Primary practice location

5564 S 3150 W
Roy, UT 84067-9716

Mailing address

5564 S 3150 W
Roy, UT 84067-9716
Phone (435) 720-2174

Other names 1

  • Laurie Jo Rasmussen Other name

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
LPC-18650AZMDMental Health Counselor
LCPC-6862IDMDMental Health Counselor
BBH-LCPC-55807MTMDMental Health Counselor
CP1122-RNVMDMental Health Counselor
10160739-6004UTMDMental Health Counselor
LPC-1717WYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
LJR Counseling Mental Health CurrentSince Oct 1, 2023 Accepting new patients
Quality Youth Services Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1272844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695686400000",
    "number": "1780901579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5564 S 3150 W",
            "city": "ROY",
            "state": "UT",
            "postal_code": "840679716",
            "telephone_number": "435-720-2174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5564 S 3150 W",
            "city": "ROY",
            "state": "UT",
            "postal_code": "840679716",
            "telephone_number": "435-720-2174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASMUSSEN",
        "first_name": "LAURIE",
        "middle_name": "JO",
        "credential": "CMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-03",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LPC-18650",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MT",
            "license": "BBH-LCPC-55807",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "10160739-6004",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LCPC-6862",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WY",
            "license": "LPC-1717",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NV",
            "license": "CP1122-R",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURIE",
            "last_name": "RASMUSSEN",
            "middle_name": "JO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Roy, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; 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.