Laurie M Craigen, PHD, LPC, EDS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0701003999 Issued in VA

Practice address

6072 Godwin Blvd
Suffolk, VA 23432-1012

Phone

(757) 255-2555

Fax

(757) 255-7009

NPI assigned

Nov 10, 2006

Sex

Female

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

Credentials

Doctor of Philosophy

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 and National Provider Directory roles.

• Southside Counseling Center, LLC

  • Professional Counselor
  • Suffolk, VA
  • NPI 1801968987
  NPD (past)

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992876106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6072 GODWIN BLVD",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234321012",
            "telephone_number": "757-255-2555",
            "fax_number": "757-255-7009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6072 GODWIN BLVD",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234321012",
            "telephone_number": "757-255-2555",
            "fax_number": "757-255-7009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAIGEN",
        "first_name": "LAURIE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PHD, LPC, EDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701003999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Max Robert Couch, RN
• Karla Sue Coughenour, RDN, LCMHC, LPC
• Cpaba Therapy, LLC
• Linda Craig-Dennis
• Brenda Earner Craig, MPT
• Megan Creasy, PHARMD
• Jannie M Credle, BIRTH DOULA
• Christen Crisostomo, MD
• Dorothy R Critzer, NP
• Cross & Cross LLC

• Mental Health Counselor in Suffolk, VA
• Providers in Suffolk, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.