Organization Active NPI

Laurie Baltz Counseling, LLC

  • School Psychologist
  • Belleville, IL
National Provider Identifier
1982206082
Registry record updated Nov 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
Legal business name
LAURIE BALTZ COUNSELING, LLC
Practice address
8 Eagle Ctr Ste 15
Belleville, IL 62269-1947
Phone
(618) 567-3693
NPI assigned
Nov 12, 2020
Last updated
Nov 12, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2020

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

Authorized official

Name
Laurie Baltz
Title
Counselor
Phone
(618) 567-3693

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TS0200X Primary

Addresses

Primary practice location

8 Eagle Ctr Ste 15
Belleville, IL 62269-1947

Mailing address

3208 Roan Hill Dr
Belleville, IL 62221-6918
Phone (618) 567-3693

Other identifiers 1

IdentifierTypeStateIssuer
1134665110OtherNPI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1605139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605139200000",
    "number": "1982206082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3208 ROAN HILL DR",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622216918",
            "telephone_number": "618-567-3693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 EAGLE CTR STE 15",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622691947",
            "telephone_number": "618-567-3693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURIE BALTZ COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-12",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-12",
        "status": "A",
        "authorized_official_last_name": "BALTZ",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "618-567-3693"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, School",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1134665110",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Belleville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2020; 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.