Active NPI
Laurie T Haddow, LPC
- Professional Counselor
- Memphis, TN
National Provider Identifier
1790786762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC0000001420
- Practice address
- 3950 Central Ave
Memphis, TN 38111-7602 - Phone
- (901) 458-6291
- Fax
- (901) 323-4848
- NPI assigned
- Aug 2, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | LPC0000001420 | TN | |
| Mental Health Counselor | 101YM0800X | LPC0000001420 | TN | |
| Professional Counselor | 101YP2500X | LPC0000001420 | TN | Primary |
Addresses
Primary practice location
3950 Central Ave
Memphis, TN 38111-7602
Mailing address
3950 Central Ave
Memphis, TN 38111-7602
Phone (901) 458-6291
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2128969 | Other | TN | CIGNA |
| 4094243 | Other | TN | TN BLUE CROSS BLUE SHIELD |
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
| License | State | Type | Specialty |
|---|---|---|---|
| LPC0000001420 | TN | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christian Psychological Center, Inc. | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202083200000",
"number": "1790786762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3950 CENTRAL AVE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381117602",
"telephone_number": "901-458-6291",
"fax_number": "901-323-4848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3950 CENTRAL AVE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381117602",
"telephone_number": "901-458-6291",
"fax_number": "901-323-4848"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HADDOW",
"first_name": "LAURIE",
"middle_name": "T",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-02",
"last_updated": "2008-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "TN",
"license": "LPC0000001420",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TN",
"license": "LPC0000001420",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TN",
"license": "LPC0000001420",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "2128969",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TN BLUE CROSS BLUE SHIELD",
"identifier": "4094243",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.