Individual provider Active NPI

Laura L Lansrud-Lopez, LPCC, LPAT, ATR-BC

  • Professional Counselor
  • Santa Fe, NM
National Provider Identifier
1992905301
Registry record updated Dec 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0127681 Issued in NM
Practice address
3600 Cerrillos Rd
Suite 714 F
Santa Fe, NM 87507-2612
Phone
(505) 310-2121
NPI assigned
Jul 23, 2007
Sex
Female
Sole proprietor
Yes

Organizations & group practices 3

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.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Teambuilders Behavioral Health LLC 19 clinicians

Practice addresses (Care Compare)

2504 Camino Entrada
Santa Fe, NM 87507-4851
Phone (505) 216-2727

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20241029002531 NM Practitioner - Mental Health Counselor 7719315589 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0130401NMMDMental Health Counselor
0127681NMMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Teambuilders Behavioral Health, LLC CurrentSince Jul 25, 2024 Accepting new patients
Teambuilders Behavioral Health, LLC CurrentSince Jul 25, 2024 Accepting new patients
Teambuilders Behavioral Health, LLC Mental Health Current Accepting new patients

Locations

101 Letton Dr
Raton, NM 87740
Phone (575) 383-2065

2504 Camino Entrada
Santa Fe, NM 87507
Phone (505) 216-2727

105 Paseo del Canon W
Taos, NM 87571
Phone (575) 751-7037

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0130401 NM
Professional Counselor 101YP2500X 0127681 NM Primary

Addresses

NPPES NPI Registry

Primary practice location

3600 Cerrillos Rd
Suite 714 F
Santa Fe, NM 87507-2612

Mailing address

4751 Arroyo Risueno
Santa Fe, NM 87507-4612
Phone (505) 310-2121

Other names 1

NPPES NPI Registry
  • Ms. Laura L Lopez Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 19, 2024.

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734566400000",
    "number": "1992905301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4751 ARROYO RISUENO",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875074612",
            "telephone_number": "505-310-2121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 CERRILLOS RD",
            "address_2": "SUITE 714 F",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875072612",
            "telephone_number": "505-310-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANSRUD-LOPEZ",
        "first_name": "LAURA",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "LPCC, LPAT, ATR-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-23",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "0130401",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "0127681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "LOPEZ",
            "middle_name": "L",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Santa Fe, NM

Sources for this page

Verify at the official NPI Registry.