LAURA LANDRUM (LAC, LSW) – Addiction (Substance Use Disorder) Counselor, NPI 1164133179

LAURA LANDRUM (LAC, LSW) is a healthcare provider. based in Frisco, Colorado. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LAC, LSW. They hold a License No. LSW.0009924318 (CO). The NPI Number for LAURA LANDRUM (LAC, LSW) is 1164133179

Main info

Female
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
LAURA LANDRUM (LAC, LSW)
NPI
1164133179
Phone
(970) 485-6676
Address
360 Peak One Dr
Enumeration Date
9 December 2022
Last Update Date
21 December 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7206895481
Graduation Year
2022 (4 years ago)
PAC ID
1951840800
Professional Enrollment ID
I20240909001224
Address ID
CO804245690BR106XXSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:3State licenses:2Digital endpointsOther names

1,884 CLINICAL SOCIAL WORKER in CO

Provider Addresses for LAURA LANDRUM (LAC, LSW)

  • 360 Peak One Dr

    Frisco, CO 804435948

    Phone: (970) 485-6676

    Type: Location

  • 225 SMITH RANCH RD

    SILVERTHORNE, CO 804989270

    Phone: (720) 689-5481

    Type: Mailing

  • 409 MAIN ST

    FRISCO, CO 804435929

    Phone: (720) 689-5481

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-09-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240909001224IClinical Social WorkerCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 80443)

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Reviews

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Frequently asked questions

Does LAURA LANDRUM (LAC, LSW) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — LAURA LANDRUM (LAC, LSW) uses 1164133179.
Can I rely on LAURA LANDRUM (LAC, LSW) being an active provider?
As of the registry snapshot, LAURA LANDRUM (LAC, LSW) is marked active.
What healthcare role does LAURA LANDRUM (LAC, LSW) hold?
Scheduling teams often label LAURA LANDRUM (LAC, LSW) under Addiction (Substance Use Disorder) Counselor. Clinical services aligned with this taxonomy classification.
Where is LAURA LANDRUM (LAC, LSW) based?
LAURA LANDRUM (LAC, LSW) is tied to Frisco, Colorado in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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