Laurie Budlong-Morse, LMFT

Individual provider Active NPI Marriage & Family Therapist · Indianapolis, IN

NPI 1972033389 · NPPES record last updated Aug 9, 2018

Key facts

NPI
1972033389
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
35001974A (IN)
Practice address
815 E 63Rd PL Ste 204
Indianapolis, IN 46220
Phone
(317) 800-2543
NPI assigned
Jun 18, 2017
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
35001974AINMDMarriage & Family Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 35001974A IN Yes

Addresses

Primary practice location

815 E 63Rd PL Ste 204
Indianapolis, IN 46220

Mailing address

815 E 63Rd PL Ste 204
Indianapolis, IN 46220-1885

Other practice location 1

819 E 64th St Ste 103
Indianapolis, IN 46220-1657
Phone (317) 800-2543

Other practice location 2

819 E 64th St Ste 103
Indianapolis, IN 46220-1657
Phone (317) 800-2543

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 9, 2018.

{
    "created_epoch": "1497744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533772800000",
    "number": "1972033389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 E 63RD PL STE 204",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462201885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 E 63RD PL STE 204",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46220",
            "telephone_number": "317-800-2543"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "819 E 64th St Ste 103",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462201657",
            "country_code": "US",
            "telephone_number": "317-800-2543",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "819 E 64th St Ste 103",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462201657",
            "country_code": "US",
            "telephone_number": "317-800-2543",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUDLONG-MORSE",
        "first_name": "LAURIE",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-18",
        "last_updated": "2018-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IN",
            "license": "35001974A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

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Sources for this page

Verify at the official NPI Registry.