Active NPI
Laura L Lansrud-Lopez, LPCC, LPAT, ATR-BC
- Professional Counselor
- Santa Fe, NM
National Provider Identifier
1992905301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0127681
- 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.
-
- Community/Behavioral Health Agency
- Santa Fe, NM
- NPI 1790329472
Mental Health, NM
-
- Community/Behavioral Health Agency
- Raton, NM
- NPI 1043889413
-
- Community/Behavioral Health Agency
- Rio Rancho, NM
- NPI 1619769569
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
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241029002531 | NM | Practitioner - Mental Health Counselor | 7719315589 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0130401 | NM | MD | Mental Health Counselor |
| 0127681 | NM | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teambuilders Behavioral Health, LLC | Current | Accepting new patients | |
| Teambuilders Behavioral Health, LLC | Current | 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 0130401 | NM | |
| Professional Counselor | 101YP2500X | 0127681 | NM | Primary |
Addresses
NPPES NPI RegistryPrimary 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
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.