Individual provider Active NPI

Laura Walnofer, LPC

  • Mental Health Counselor
  • Pueblo, CO
National Provider Identifier
1982723722
Registry record updated Jun 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC3165 Issued in CO
Practice address
1 El Pueblo Ranch Way
Pueblo, CO 81006-2103
Phone
(719) 404-1127
Fax
(719) 404-1321
NPI assigned
Mar 29, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2015

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 LPC3165 CO Primary

Addresses

Primary practice location

1 El Pueblo Ranch Way
Pueblo, CO 81006-2103

Mailing address

1 El Pueblo Ranch Way
Pueblo, CO 81006-2103
Phone (719) 404-1127

Other identifiers 1

IdentifierTypeStateIssuer
60788224MedicaidCO

Other names 1

  • Laura Trombley Former name

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

State licenses

LicenseStateTypeSpecialty
LPC3165COMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433203200000",
    "number": "1982723722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EL PUEBLO RANCH WAY",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810062103",
            "telephone_number": "719-404-1127",
            "fax_number": "719-404-1321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 EL PUEBLO RANCH WAY",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810062103",
            "telephone_number": "719-404-1127",
            "fax_number": "719-404-1321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALNOFER",
        "first_name": "LAURA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2015-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPC3165",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60788224",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "TROMBLEY",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pueblo, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2015; 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.