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LARA WALDENMAIER LLC
NPI 1629659610
Counselor in Willoughby, OH

Active since April 20, 2021
5900 SOM CENTER RD STE 12-203, WILLOUGHBY, OH 44094(440) 540-5258 Get Directions Write a Review

NPPES record last updated: April 20, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lara Waldenmaier Llc NPPES

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

LARA WALDENMAIER LLC (NPI 1629659610) is a healthcare organization registered as a counselor in Willoughby, Ohio and active in the NPI registry since April 2021. The organization lists Lara Waldenmaier, Professional Clinical Counselor, as its authorized official.

NPPES Registry Identity

NPI1629659610
Entity TypeOrganization
Primary Taxonomy101Y00000X
Legal Business NameLARA WALDENMAIER LLC
Location Address5900 SOM CENTER RD STE 12-203Willoughby, OH 44094-3086
Mailing Address5900 Som Center Rd Ste 12-203Willoughby, OH 44094-3086 · (440) 540-5258
Phone(440) 540-5258
Organization SubpartNo
Authorized OfficialLara WaldenmaierProfessional Clinical Counselor · (440) 525-6825
Enumeration DateApril 20, 2021
NPPES CertifiedApril 20, 2021
✔ NPI 1629659610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
5900 SOM CENTER RD STE 12-203, Willoughby, OH 44094
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Other Identifiers 3

Medicaid0185639OH
Other13815586OH · Caqh
OtherCS1625600131OH · Caresource

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Lara Waldenmaier LLC's NPI number?

The NPI number for Lara Waldenmaier LLC is 1629659610. It was assigned to this organization in the NPPES registry on April 20, 2021.

Where is Lara Waldenmaier LLC located?

Lara Waldenmaier LLC is located at 5900 Som Center Rd Ste 12-203, Willoughby, OH 44094. The listed phone number is (440) 540-5258.

What is Lara Waldenmaier LLC's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Lara Waldenmaier LLC was last updated on April 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.