Individual provider Active NPI

Samuel Joseph Laurent, LCMHCA, PHD, MA

  • Mental Health Counselor
  • Chapel Hill, NC
National Provider Identifier
1972425288
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A23300 Issued in NC
Practice address
1777 Fordham Blvd Ste 204
Chapel Hill, NC 27514-5885
Phone
(919) 275-2137
NPI assigned
Jul 28, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X A23300 NC Primary

Addresses

Primary practice location

1777 Fordham Blvd Ste 204
Chapel Hill, NC 27514-5885

Mailing address

1777 Fordham Blvd Ste 204
Chapel Hill, NC 27514-5885
Phone (919) 275-2137

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

NPI Registry JSON

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

{
    "created_epoch": "1785196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1972425288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1777 FORDHAM BLVD STE 204",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275145885",
            "telephone_number": "919-275-2137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1777 FORDHAM BLVD STE 204",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275145885",
            "telephone_number": "919-275-2137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAURENT",
        "first_name": "SAMUEL",
        "middle_name": "JOSEPH",
        "credential": "LCMHCA, PHD, MA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-07-28",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A23300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; 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.