Laurie Ames Petty, M.ED., LPC, P.A.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

17704 Issued in TX

Practice address

14833 Midway Rd
Suite 210
Addison, TX 75001-4955

Phone

(214) 202-4687

Fax

(214) 341-6017

NPI assigned

Jan 11, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education, Physician Assistant

State licenses

Practice roles

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.

• Laurie Ames Petty, M.Ed., LPC, P.a.

  • Professional Counselor
  • Addison, TX
  • NPI 1316927197
  NPD (past) Authorized official

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

{
    "created_epoch": "1200009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200009600000",
    "number": "1801072533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 180244",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752180244",
            "telephone_number": "214-202-4687",
            "fax_number": "214-341-6017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14833 MIDWAY RD",
            "address_2": "SUITE 210",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750014955",
            "telephone_number": "214-202-4687",
            "fax_number": "214-341-6017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETTY",
        "first_name": "LAURIE",
        "middle_name": "AMES",
        "credential": "M.ED., LPC, P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-11",
        "last_updated": "2008-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "17704",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "178379701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Addison, TX
• Providers in Addison, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.

Verify at the official NPI Registry.