Active NPI
Lorre Royanne Anderson, MS, LPC
- Professional Counselor
- Tempe, AZ
National Provider Identifier
1003074394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC-2117
- Practice address
- 4025 S McClintock Dr # 212
Tempe, AZ 85282 - Phone
- (480) 278-9024
- NPI assigned
- May 23, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC-2117 | AZ | Primary |
Addresses
Primary practice location
4025 S McClintock Dr # 212
Tempe, AZ 85282
Mailing address
4025 S McClintock Dr # 212
Tempe, AZ 85282
Phone (480) 278-9024
Other names 1
- Lorre Royanne Bracy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC-2117 | AZ | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582243200000",
"number": "1003074394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4025 S MCCLINTOCK DR # 212",
"city": "TEMPE",
"state": "AZ",
"postal_code": "85282",
"telephone_number": "480-278-9024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4025 S MCCLINTOCK DR # 212",
"city": "TEMPE",
"state": "AZ",
"postal_code": "85282",
"telephone_number": "480-278-9024"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "LORRE",
"middle_name": "ROYANNE",
"credential": "MS, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-23",
"last_updated": "2020-02-21",
"certification_date": "2020-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AZ",
"license": "LPC-2117",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LORRE",
"last_name": "BRACY",
"middle_name": "ROYANNE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Tempe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.