Individual provider Active NPI

Susan Elizabeth Laukoter, LPC

  • Professional Counselor
  • Irving, TX
National Provider Identifier
1912096736
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
12719 Issued in TX
Practice address
3021 Gateway Dr Ste 240
Irving, TX 75063-2638
Phone
(972) 257-0449
NPI assigned
Oct 11, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 12719 TX Primary

Addresses

Primary practice location

3021 Gateway Dr Ste 240
Irving, TX 75063-2638

Mailing address

3301 Parkwood Dr
Flower Mound, TX 75022-4771
Phone (972) 539-6099

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Previously, effective Aug 30, 2024 through Aug 30, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
12719TXMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912096736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 PARKWOOD DR",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750224771",
            "telephone_number": "972-539-6099",
            "fax_number": "972-258-0449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3021 GATEWAY DR STE 240",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750632638",
            "telephone_number": "972-257-0449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAUKOTER",
        "first_name": "SUSAN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "12719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

Verify at the official NPI Registry.