Lauren Bise, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

701012519 Issued in VA

Practice address

4453 Shore Dr
Virginia Beach, VA 23455-2821

Phone

(316) 744-5354

NPI assigned

Nov 24, 2023

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Coastal Light Counseling & Psychotherapy, PLLC

  dba Coastal Light Counseling

  • Professional Counselor
  • Virginia Beach, VA
  • NPI 1598251092
  NPD (past)

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

{
    "created_epoch": "1700784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700784000000",
    "number": "1811762412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2176 S TERRACE DR",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672185046",
            "telephone_number": "316-744-5354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4453 SHORE DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234552821",
            "telephone_number": "316-744-5354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISE",
        "first_name": "LAUREN",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-24",
        "last_updated": "2023-11-24",
        "certification_date": "2023-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "701012519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elaine Barbara Birk, LCSW
• Peter Birk, M.D.
• Emma Biron
• Joseph Biron
• Birthright Wellness & Advocacy Center
• Tracy Bishop Devany, ARNP
• Barbara Stretetsky Bishop, ANPC
• Kelly Bishop, PT
• Linda Bishop
• Kristy Bitney, LPTA

• Mental Health Counselor in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2023; 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.