Active NPI
Lori R Lebahn, MS LPC
- Mental Health Counselor
- Russellville, AR
National Provider Identifier
1063501146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- P9810027
- Practice address
- 1110 W B St
Suite K
Russellville, AR 72801-3506 - Phone
- (479) 280-1962
- Fax
- (479) 567-5521
- NPI assigned
- Oct 12, 2006
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | P9810027 | AR | Primary |
Addresses
Primary practice location
1110 W B St
Suite K
Russellville, AR 72801-3506
Mailing address
PO Box 10263
Russellville, AR 72812-0263
Phone (479) 280-1962
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P9810027 | AR | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323129600000",
"number": "1063501146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10263",
"city": "RUSSELLVILLE",
"state": "AR",
"postal_code": "728120263",
"telephone_number": "479-280-1962",
"fax_number": "479-567-5521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1110 W B ST",
"address_2": "SUITE K",
"city": "RUSSELLVILLE",
"state": "AR",
"postal_code": "728013506",
"telephone_number": "479-280-1962",
"fax_number": "479-567-5521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEBAHN",
"first_name": "LORI",
"middle_name": "R",
"credential": "MS LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-12",
"last_updated": "2011-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AR",
"license": "P9810027",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Russellville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.