Active NPI
Laura Elizabeth Falk, LAC
- Counselor
- Mount Holly, NJ
National Provider Identifier
1801416375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 37AC00526700
- Practice address
- 300 Campus Dr Ste C
Mount Holly, NJ 08060-9604 - Phone
- (609) 283-2179
- NPI assigned
- Apr 24, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 37AC00526700 | NJ | Primary |
Addresses
Primary practice location
300 Campus Dr Ste C
Mount Holly, NJ 08060-9604
Mailing address
25 Blueberry Run
Southampton, NJ 08088-1253
Phone (406) 799-0368
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Oct 23, 2024 through Oct 23, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37AC00526700 | NJ | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587686400000",
"number": "1801416375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 BLUEBERRY RUN",
"city": "SOUTHAMPTON",
"state": "NJ",
"postal_code": "080881253",
"telephone_number": "406-799-0368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 CAMPUS DR STE C",
"city": "MOUNT HOLLY",
"state": "NJ",
"postal_code": "080609604",
"telephone_number": "609-283-2179"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FALK",
"first_name": "LAURA",
"middle_name": "ELIZABETH",
"credential": "LAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-24",
"last_updated": "2020-04-24",
"certification_date": "2020-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NJ",
"license": "37AC00526700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Holly, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.