Individual provider Active NPI

Lori Anne Heberley, LPC

  • Professional Counselor
  • Cherry Hill, NJ
National Provider Identifier
1053080515
Registry record updated Sep 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC00025400 Issued in NJ
Practice address
61 Kresson Rd FL 2
Cherry Hill, NJ 08034-3228
Phone
(856) 429-3494
Fax
(856) 229-7683
NPI assigned
Sep 8, 2021
Last updated
Sep 8, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 37PC00025400 NJ
Mental Health Counselor 101YM0800X 37PC00025400 NJ
Professional Counselor 101YP2500X 37PC00025400 NJ Primary

Addresses

Primary practice location

61 Kresson Rd FL 2
Cherry Hill, NJ 08034-3228

Mailing address

61 Kresson Rd FL 2
Cherry Hill, NJ 08034-3228
Phone (856) 429-3494

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240305002307 NJ Practitioner - Mental Health Counselor 9335584978 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Cherry Hill, NJ 08034
Phone (856) 429-3494

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37PC00025400NJMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
South Jersey Geriatric Care, PC CurrentSince Jan 1, 2024 Accepting new patients

Locations

61 Kresson Rd
Cherry Hill, NJ 08034

61 Kresson Rd
Fl 2
Cherry Hill, NJ 08034
Phone (856) 429-3494

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1631059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631059200000",
    "number": "1053080515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 KRESSON RD FL 2",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080343228",
            "telephone_number": "856-429-3494",
            "fax_number": "856-229-7683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 KRESSON RD FL 2",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080343228",
            "telephone_number": "856-429-3494",
            "fax_number": "856-229-7683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEBERLEY",
        "first_name": "LORI",
        "middle_name": "ANNE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-08",
        "last_updated": "2021-09-08",
        "certification_date": "2021-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NJ",
            "license": "37PC00025400",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37PC00025400",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00025400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

Verify at the official NPI Registry.