Individual provider Active NPI

Laura Mary Valentine, M.A., NCC, LPCA

  • Mental Health Counselor
  • Durham, NC
National Provider Identifier
1790174894
Registry record updated Jan 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A11060 Issued in NC
Practice address
4111 Hampstead Village Dr
Durham, NC 27703-6740
Phone
(919) 358-3012
NPI assigned
Jan 13, 2015
Last updated
Jan 13, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X A11060 NC Primary

Addresses

Primary practice location

4111 Hampstead Village Dr
Durham, NC 27703-6740

Mailing address

4111 Hampstead Village Dr
Durham, NC 27703-6740
Phone (919) 358-3012

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250904001950 NC Practitioner - Mental Health Counselor 9739681388 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lavni IncGroup PAC ID 9830691484, 15 clinicians

Practice addresses (Care Compare)

804 S Garnett St
Henderson, NC 27536-4571
Phone (980) 890-7995

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
A11060NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lavni, Inc CurrentSince Nov 19, 2021 Accepting new patients
The Springs Mental Health Current Accepting new patients
Overcomers Counseling Center, Inc Current Accepting new patients

Locations

804 S Garnett St
Henderson, NC 27536
Phone (980) 267-3826

Organizations & group practices 5

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": "1421107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421107200000",
    "number": "1790174894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4111 HAMPSTEAD VILLAGE DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277036740",
            "telephone_number": "919-358-3012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4111 HAMPSTEAD VILLAGE DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277036740",
            "telephone_number": "919-358-3012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALENTINE",
        "first_name": "LAURA",
        "middle_name": "MARY",
        "credential": "M.A., NCC, LPCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-13",
        "last_updated": "2015-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A11060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.