Laure Wiethoff, ED.S

Primary specialty

School PsychologistTaxonomy code 103TS0200X

License

10183770 Issued in IN

Practice address

815 N State Road 29
Michigantown, IN 46057-9616

Phone

(765) 249-2244

NPI assigned

Jul 15, 2025

Last updated

Jul 18, 2025By the provider in NPPES

Sex

Unspecified or another gender identity

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rossville Consolidated School District

  • Local Education Agency (LEA)
  • Rossville, IN
  • NPI 1912000290
  NPD (past)

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

{
    "created_epoch": "1752537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752796800000",
    "number": "1992696025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6192 CHATSWORTH DR",
            "city": "WHITESTOWN",
            "state": "IN",
            "postal_code": "460754484",
            "telephone_number": "630-956-3722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 N STATE ROAD 29",
            "city": "MICHIGANTOWN",
            "state": "IN",
            "postal_code": "460579616",
            "telephone_number": "765-249-2244"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Robert Egly Dr",
            "address_purpose": "LOCATION",
            "city": "Rossville",
            "state": "IN",
            "postal_code": "460659664",
            "country_code": "US",
            "telephone_number": "765-379-2990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIETHOFF",
        "first_name": "LAURE",
        "name_prefix": "Ms.",
        "credential": "ED.S",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-07-15",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "IN",
            "license": "10183770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Anderson, ATC, LAT
• Clinton Central School Corporation
• Proactive Mso, LLC (Clinton Central Satellite Health Center)

• School Psychologist in Michigantown, IN
• Providers in Michigantown, IN by specialty
• School Psychologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2025; 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.