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DR. LAURA HERRON PHD
NPI 1164064903
Psychologist - Clinical in Charlottesville, VA

Active since October 14, 2019Opted out of Medicare · through Dec 18, 2027
100 E SOUTH ST STE 5B, CHARLOTTESVILLE, VA 22902(434) 971-4747 Get Directions Write a Review

NPPES record last updated: October 21, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Laura Herron Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LAURA HERRON PHD (NPI 1164064903) is an individual clinical provider in Charlottesville, Virginia, licensed in District Of Columbia (PSY1001531) and active in the NPI registry since October 2019. She has opted out of Medicare through December 18, 2027 and maintains a secondary practice location in Washington.

NPPES Registry Identity

NPI1164064903
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. LAURA HERRONCredential: PHD
Location Address100 E SOUTH ST STE 5BCharlottesville, VA 22902-5217
Mailing Address100 E South St Ste 5bCharlottesville, VA 22902-5217
Phone(434) 971-4747
Sole ProprietorNo
Enumeration DateOctober 14, 2019
Last NPPES UpdateOctober 21, 2024
NPPES CertifiedOctober 21, 2024
✔ NPI 1164064903 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in DC · PSY1001531
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
100 E SOUTH ST STE 5B, Charlottesville, VA 22902
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Secondary Practice Location 1

Location 11350 Connecticut Ave NW Ste 825Washington, DC 20036-1741 · Phone (202) 986-5941

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Laura Herron Phd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 18, 2025 through December 18, 2027.

Opt-Out Effective DateDecember 18, 2025
Opt-Out In Effect ThroughDecember 18, 2027Opt-out affidavits renew automatically every two years unless cancelled

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Laura Herron's NPI number?

The NPI number for Laura Herron is 1164064903. It was assigned to this individual provider in the NPPES registry on October 14, 2019.

Where is Laura Herron located?

Laura Herron practices at 100 E South St Ste 5B, Charlottesville, VA 22902. The listed phone number is (434) 971-4747.

What is Laura Herron's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Laura Herron enrolled in Medicare?

No. Laura Herron has opted out of Medicare through December 18, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Laura Herron was last updated on October 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.