Laura Marie De Thier-Lupori, BS, LADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

303646 Issued in MN

Practice address

1145 Shenandoah Lane
Plymouth, MN 55447

Phone

(612) 596-9198

Fax

(612) 321-3807

NPI assigned

Sep 25, 2013

Last updated

Jan 9, 2015By the provider in NPPES

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

Credentials

Bachelor of Science

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.

• Community Resources for Education Alternative Treatments & Evaluation

  dba CREATE Inc

  • Addiction (Substance Use Disorder) Counselor
  • Minneapolis, MN
  • NPI 1336212653
  NPD (past)
• Create Inc

  • Addiction (Substance Use Disorder) Counselor
  • Plymouth, MN
  • NPI 1730581646
  NPD (past)

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

{
    "created_epoch": "1380067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420761600000",
    "number": "1821424508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1911 PLEASANT AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55403",
            "telephone_number": "612-596-9198",
            "fax_number": "612-321-3807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 SHENANDOAH LANE",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "55447",
            "telephone_number": "612-596-9198",
            "fax_number": "612-321-3807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE THIER-LUPORI",
        "first_name": "LAURA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "BS, LADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-25",
        "last_updated": "2015-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "303646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krista M Davis, OD, FAAO
• Leigh A Davis, CRNA
• Madison Lynn Davis
• Christopher Jon Day, DPT
• Daniel K Day, ME
• Senit Debesai, ND
• David Weston Degenaar
• Alyssa Christine Degife, MS CMHC LPCC
• Matthew Del Mastro, DMD
• John Kenneth Delke, MA, LADC

• Addiction (Substance Use Disorder) Counselor in Plymouth, MN
• Providers in Plymouth, MN by specialty
• Addiction (Substance Use Disorder) Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2015; 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.