Individual provider Active NPI

Laura Anne Pasker, M.A.

  • Mental Health Counselor
  • Treasure Island, FL
National Provider Identifier
1790033884
Registry record updated Apr 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH15380 Issued in FL
Practice address
151 107TH Ave Ste 13
Treasure Island, FL 33706-4744
Phone
(727) 954-3908
Fax
(727) 954-3945
NPI assigned
Aug 21, 2012
Last updated
Apr 2, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 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
Mental Health Counselor 101YM0800X MH15380 FL Primary

Addresses

Primary practice location

151 107TH Ave Ste 13
Treasure Island, FL 33706-4744

Mailing address

151 107TH Ave Ste 13
Treasure Island, FL 33706-4744
Phone (727) 954-3908

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Previously, effective Aug 23, 2024 through Aug 23, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
MH15380FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Clarity Counseling Solutions, LLC Mental Health CurrentSince Jul 21, 2024 Accepting new patients
Footprints Beachside Recovery Inc Past Accepting new patients
Footprints Beachside Recovery Past Accepting new patients

Locations

31640 US Highway 19 N
Ste 2
Palm Harbor, FL 34684
Phone (615) 512-2178

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": "1345507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522627200000",
    "number": "1790033884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 107TH AVE STE 13",
            "city": "TREASURE ISLAND",
            "state": "FL",
            "postal_code": "337064744",
            "telephone_number": "727-954-3908",
            "fax_number": "727-954-3945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 107TH AVE STE 13",
            "city": "TREASURE ISLAND",
            "state": "FL",
            "postal_code": "337064744",
            "telephone_number": "727-954-3908",
            "fax_number": "727-954-3945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASKER",
        "first_name": "LAURA",
        "middle_name": "ANNE",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-21",
        "last_updated": "2018-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH15380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Treasure Island, FL

Sources for this page

Verify at the official NPI Registry.