LAURA K GRACE LPC
NPI 1528283017
Counselor - Professional in Ellisville, MO
About Laura K Grace Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAURA K GRACE LPC (NPI 1528283017) is an individual professional provider in Ellisville, Missouri, licensed in Missouri (2005005997) and active in the NPI registry since April 2007. She has opted out of Medicare through May 29, 2028.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Laura K Grace Lpc 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 May 29, 2024 through May 29, 2028.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ELLISVILLE, MO 63011
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 Grace's NPI number?
The NPI number for Laura Grace is 1528283017. It was assigned to this individual provider in the NPPES registry on April 17, 2007. The provider is also known as Laura Mittelstadt Lpc.
Where is Laura Grace located?
Laura Grace practices at 254 Clarkson Rd, Ellisville, MO 63011. The listed phone number is (314) 310-2921.
What is Laura Grace's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Laura Grace enrolled in Medicare?
No. Laura Grace has opted out of Medicare through May 29, 2028. 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 Grace was last updated on September 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.
# Laura K Grace, LPC · NPI 1528283017
Professional provider in Ellisville, Missouri. Individual provider, active in the CMS NPPES registry since April 17, 2007.
## Identity
- **NPI:** 1528283017 (Entity type: Individual)
- **Enumerated:** April 17, 2007
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 2005005997 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 254 CLARKSON RD, Ellisville, MO 63011-2245
- **Phone:** (314) 310-2921
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through May 29, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** September 22, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1528283017) · Data from the CMS NPPES public registry.