Individual provider Active NPI

Laura Kacere, MA, LPC

  • Professional Counselor
  • Boone, NC
National Provider Identifier
1891234019
Registry record updated Oct 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
14313 Issued in NC
Practice address
895 State Farm Rd Ste 507-5
Boone, NC 28607
Phone
(828) 338-3136
NPI assigned
Feb 21, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 178.012498 IL
Professional Counselor 101YP2500X 14313 NC Primary

Addresses

Primary practice location

895 State Farm Rd Ste 507-5
Boone, NC 28607

Mailing address

895 State Farm Rd Ste 507-5
Boone, NC 28607-4917
Phone (828) 338-3136

Other practice location 1

276 McGuire Mountain Rd
Banner Elk, NC 28604-8773
Phone (515) 975-6362

Other practice location 2

3166 N Lincoln Ave
Suite 207
Chicago, IL 60657-3133
Phone (773) 295-7858

Other practice location 3

895 State Farm Rd Ste 403-1
Boone, NC 28607-4917
Phone (828) 338-3136

Other practice location 4

838 State Farm Rd Ste 1
Boone, NC 28607-5364
Phone (828) 386-1172

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
178.012498ILMDProfessional Counselor
14313NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Evergreen Counseling and Wellness, PLLC Professional CurrentSince Dec 15, 2019 Accepting new patients

Locations

895 State Farm Rd
Ste 4031
Boone, NC 28607
Phone (828) 338-3136

895 State Farm Rd
Ste 5075
Boone, NC 28607
Phone (828) 278-8218

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": "1487635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570492800000",
    "number": "1891234019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "895 STATE FARM RD STE 507-5",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286074917",
            "telephone_number": "828-338-3136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "895 STATE FARM RD STE 507-5",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "28607",
            "telephone_number": "828-338-3136"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "276 McGuire Mountain Rd",
            "address_purpose": "LOCATION",
            "city": "Banner Elk",
            "state": "NC",
            "postal_code": "286048773",
            "country_code": "US",
            "telephone_number": "515-975-6362",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3166 N Lincoln Ave",
            "address_2": "Suite 207",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606573133",
            "country_code": "US",
            "telephone_number": "773-295-7858",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "895 State Farm Rd Ste 403-1",
            "address_purpose": "LOCATION",
            "city": "Boone",
            "state": "NC",
            "postal_code": "286074917",
            "country_code": "US",
            "telephone_number": "828-338-3136",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "838 State Farm Rd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Boone",
            "state": "NC",
            "postal_code": "286075364",
            "country_code": "US",
            "telephone_number": "828-386-1172",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KACERE",
        "first_name": "LAURA",
        "name_prefix": "Ms.",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-21",
        "last_updated": "2019-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.012498",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "14313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boone, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2019; 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.