Individual provider Active NPI

Lauren Silver, M.S.

  • Mental Health Counselor
  • Port Orange, FL
National Provider Identifier
1811354525
Registry record updated Jan 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
IMH12208 Issued in FL
Practice address
1690 Dunlawton Ave
125
Port Orange, FL 32127-8979
Phone
(347) 321-9090
Fax
(386) 310-3992
NPI assigned
Jan 26, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2016

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 IMH12208 FL Primary

Addresses

Primary practice location

1690 Dunlawton Ave
125
Port Orange, FL 32127-8979

Mailing address

1690 Dunlawton Ave
125
Port Orange, FL 32127-8979
Phone (347) 321-9090

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
IMH12208FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Mental Health Current Accepting new patients
Spruce Creek Mental Health Services, LLC PastSince Sep 16, 2015 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: laurensilver@tdh.allscriptsdirect.net

Organizations & group practices 2

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": "1453766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453766400000",
    "number": "1811354525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1690 DUNLAWTON AVE",
            "address_2": "125",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321278979",
            "telephone_number": "347-321-9090",
            "fax_number": "386-310-3992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1690 DUNLAWTON AVE",
            "address_2": "125",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321278979",
            "telephone_number": "347-321-9090",
            "fax_number": "386-310-3992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILVER",
        "first_name": "LAUREN",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-26",
        "last_updated": "2016-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH12208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Orange, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2016; 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.