Laura Brook Sites, LPCC-S

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

E.1000079 Issued in OH

Practice address

924 N Cable Rd
Lima, OH 45805-1704

Phone

(419) 969-3125

NPI assigned

Oct 28, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Laura Brook Smith Former name

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/wingsrecoveryohio/r4/

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.

• Wings Support and Recovery

  • Community/Behavioral Health Agency
  • Marysville, OH
  • NPI 1669940995
  Medicare reassignment NPD
• Connect for Community Behavioral Health Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lima, OH
  • NPI 1427907120
  NPD Authorized official
• Wings Enrichment Center

  • Community/Behavioral Health Agency
  • Marysville, OH
  • NPI 1104213925
  NPD (past)

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

{
    "created_epoch": "1477612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710633600000",
    "number": "1962954693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10100 ELIDA RD",
            "city": "DELPHOS",
            "state": "OH",
            "postal_code": "458339056",
            "telephone_number": "419-695-8010",
            "fax_number": "419-695-0004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 N CABLE RD",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458051704",
            "telephone_number": "419-969-3125"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "799 S Main St",
            "address_purpose": "LOCATION",
            "city": "Lima",
            "state": "OH",
            "postal_code": "458041519",
            "country_code": "US",
            "telephone_number": "419-229-2222",
            "fax_number": "419-229-2227",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "658 W Market St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Lima",
            "state": "OH",
            "postal_code": "458015604",
            "country_code": "US",
            "telephone_number": "419-222-1527",
            "fax_number": "419-222-3586",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SITES",
        "first_name": "LAURA",
        "middle_name": "BROOK",
        "credential": "LPCC-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-28",
        "last_updated": "2024-03-17",
        "certification_date": "2024-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.1000079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "SMITH",
            "middle_name": "BROOK",
            "credential": "LPCC-S",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mary Ann Singh
• Priyanka Singh
• John Howard Sirak, M.D.
• Shedelyne Sirise
• Karen Sue Sisler
• Richard Sites, RN
• Amber L. Sizemore
• Sherry L Slagle
• Wlliam Edward Slaise Jr.
• Luke Slavik, DDS

• Professional Counselor in Lima, OH
• Providers in Lima, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.