Individual provider Active NPI

Laura Kathryn Gundel, M.DIV, M.ED

  • Mental Health Counselor
  • Gastonia, NC
National Provider Identifier
1811376353
Registry record updated Feb 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A11694 Issued in NC
Practice address
609 S New Hope Rd Ste 200C
Gastonia, NC 28054-4870
Phone
(704) 208-1865
NPI assigned
May 28, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X A11694 NC Primary
Counselor 101Y00000X A11694 NC
Professional Counselor 101YP2500X A11694 NC

Addresses

Primary practice location

609 S New Hope Rd Ste 200C
Gastonia, NC 28054-4870

Mailing address

609 S New Hope Rd Ste 200C
Gastonia, NC 28054-4870

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241106001242 NC Practitioner - Mental Health Counselor 4789005380 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
A11694NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
New Hope Counseling and Wellness LLC Professional CurrentSince Sep 3, 2015 Accepting new patients

Locations

609 S New Hope Rd
Ste 102
Gastonia, NC 28054
Phone (704) 208-1865

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": "1432771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487289600000",
    "number": "1811376353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 S NEW HOPE RD STE 200C",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280544870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 S NEW HOPE RD STE 200C",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280544870",
            "telephone_number": "704-208-1865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUNDEL",
        "first_name": "LAURA",
        "middle_name": "KATHRYN",
        "name_prefix": "Ms.",
        "credential": "M.DIV, M.ED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-28",
        "last_updated": "2017-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A11694",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NC",
            "license": "A11694",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "A11694",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

Verify at the official NPI Registry.