Laura Willenborg Counseling LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

LAURA WILLENBORG COUNSELING LLC

Practice address

1000 Sagamore Pkwy N Ste 207
Lafayette, IN 47904-2474

Phone

(815) 343-2074

NPI assigned

Mar 21, 2019

Last updated

Mar 21, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Laura Willenborg, LCSWNPI 1528326485

Title

Sole MBR

Phone

(765) 413-5835

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Laura A Willenborg, LCSW

  • Clinical Social Worker
  • Lafayette, IN
  • NPI 1528326485
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1553126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553126400000",
    "number": "1861952210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 SAGAMORE PKWY N STE 207",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479042474",
            "telephone_number": "815-343-2074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 SAGAMORE PKWY N STE 207",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479042474",
            "telephone_number": "815-343-2074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURA WILLENBORG COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-21",
        "last_updated": "2019-03-21",
        "status": "A",
        "authorized_official_last_name": "WILLENBORG",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "SOLE MBR",
        "authorized_official_telephone_number": "765-413-5835",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie A Langston, WHNP
• Sarah Anne Langworthy, RN
• Robert Larew, MD
• Cheyanne Large
• Ruth Larson, CST
• Catalina Maria Laverne, MPH, RD, CD
• Heather Lavoine
• Margaret Lawhorn, AU.D
• Brooklyn Lawrence, RBT
• Todd Laws, ATC., LAT.

• Clinical Social Worker in Lafayette, IN
• Providers in Lafayette, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.