Individual provider Active NPI

Laura Halvorsen, PSY.D.

  • Clinical Psychologist
  • Keene, NH
National Provider Identifier
1972811289
Registry record updated Feb 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1351 Issued in NH
Practice address
191 Washington St
Keene, NH 03431-3154
Phone
(978) 254-4321
NPI assigned
Sep 21, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 1351 NH Primary

Addresses

Primary practice location

191 Washington St
Keene, NH 03431-3154

Mailing address

191 Washington St
Keene, NH 03431-3154
Phone (978) 254-4321

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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

Enrollment IDStateProvider typePAC IDDetails
I20160329001348 NH Practitioner - Clinical Psychologist 1557668068 Reassigns benefits to 1 organization
Practice locations: Keene, NH; Warner, NH

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2014
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

191 Washington St
Keene, NH 03431-3154
Phone (978) 254-4321

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Novus Vita Counseling, PLLC Clinical CurrentSince Jan 16, 2016 Accepting new patients
Central New Hampshire Oral Surgery, PA Past Accepting new patients

Locations

69 Bay St
Manchester, NH 03104
Phone (603) 232-6987

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1285027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486425600000",
    "number": "1972811289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 WASHINGTON ST",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "034313154",
            "telephone_number": "978-254-4321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 WASHINGTON ST",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "034313154",
            "telephone_number": "978-254-4321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALVORSEN",
        "first_name": "LAURA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-21",
        "last_updated": "2017-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NH",
            "license": "1351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Keene, NH

Sources for this page

Verify at the official NPI Registry.