Active NPI
Lynn Marie Lauria, LMHC
- Mental Health Counselor
- Orchard Park, NY
National Provider Identifier
1881147270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 240 Red Tail Rd Ste 11a
Orchard Park, NY 14127-1582 - Phone
- (716) 770-5010
- NPI assigned
- Aug 2, 2016
- Last updated
- Mar 10, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
240 Red Tail Rd Ste 11a
Orchard Park, NY 14127-1582
Mailing address
240 Red Tail Rd Ste 11a
Orchard Park, NY 14127-1582
Phone (716) 770-5010
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881147270 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 1, 2024 through Apr 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009519 | NY | MD | Surgical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678406400000",
"number": "1881147270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "240 RED TAIL RD STE 11A",
"city": "ORCHARD PARK",
"state": "NY",
"postal_code": "141271582",
"telephone_number": "716-770-5010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 RED TAIL RD STE 11A",
"city": "ORCHARD PARK",
"state": "NY",
"postal_code": "141271582",
"telephone_number": "716-770-5010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAURIA",
"first_name": "LYNN",
"middle_name": "MARIE",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-02",
"last_updated": "2023-03-10",
"certification_date": "2023-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1881147270",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Orchard Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.