Individual provider Active NPI

Laura Elena, LMSW

  • Clinical Social Worker
  • Gilbert, AZ
National Provider Identifier
1801276787
Registry record updated Oct 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
3004 E Derringer Way
Gilbert, AZ 85297-2150
Phone
(480) 510-4967
NPI assigned
Jun 4, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X LMSW-16325 AZ
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

3004 E Derringer Way
Gilbert, AZ 85297-2150

Mailing address

1910 S Stapley Dr Ste 221
Mesa, AZ 85204-6680
Phone (480) 510-4967

Other practice location 1

1910 S Stapley Dr Ste 221
Mesa, AZ 85204-6680
Phone (480) 510-4967

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
LMSW-16325AZMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Thryve Therapy LLC Mental Health Current Accepting new patients

Locations

1910 S Stapley Dr
Ste 221
Mesa, AZ 85204
Phone (480) 573-2262

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": "1433376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634342400000",
    "number": "1801276787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 S STAPLEY DR STE 221",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852046680",
            "telephone_number": "480-510-4967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3004 E DERRINGER WAY",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852972150",
            "telephone_number": "480-510-4967"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1910 S Stapley Dr Ste 221",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852046680",
            "country_code": "US",
            "telephone_number": "480-510-4967",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELENA",
        "first_name": "LAURA",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-04",
        "last_updated": "2021-10-16",
        "certification_date": "2021-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LMSW-16325",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2021; 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.