Individual provider Active NPI

Laura Rogstad, PSYD

  • Psychologist
  • Lake Stevens, WA
National Provider Identifier
1922470145
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY60743589 Issued in WA
Practice address
1709 124TH Ave NE Unit 53
Lake Stevens, WA 98258-1802
Phone
(206) 451-7245
Fax
(206) 237-9229
NPI assigned
Oct 27, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY60743589 WA Primary

Addresses

Primary practice location

1709 124TH Ave NE Unit 53
Lake Stevens, WA 98258-1802

Mailing address

1709 124TH Ave NE Unit 53
Lake Stevens, WA 98258-1802
Phone (206) 451-7245

Other names 1

  • Laura Maring Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Oct 16, 2025 through Oct 16, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PY60743589WAMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1445904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1922470145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1709 124TH AVE NE UNIT 53",
            "city": "LAKE STEVENS",
            "state": "WA",
            "postal_code": "982581802",
            "telephone_number": "206-451-7245",
            "fax_number": "206-237-9229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1709 124TH AVE NE UNIT 53",
            "city": "LAKE STEVENS",
            "state": "WA",
            "postal_code": "982581802",
            "telephone_number": "206-451-7245",
            "fax_number": "206-237-9229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGSTAD",
        "first_name": "LAURA",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-27",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WA",
            "license": "PY60743589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "MARING",
            "credential": "PSYD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lake Stevens, WA

Sources for this page

Verify at the official NPI Registry.