Melody Kay Lorenzo

Primary specialty

Addiction (Substance Use Disorder) PsychologistTaxonomy code 103TA0400X

License

CP00001048 Issued in WA

Practice address

404 W Main St
Kelso, WA 98626-1118

Phone

(360) 423-2806

NPI assigned

Nov 27, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Awakenings, Inc

  • Addiction (Substance Use Disorder) Counselor
  • Kelso, WA
  • NPI 1275245722
  NPD (past)

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

{
    "created_epoch": "1543276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543276800000",
    "number": "1073083580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 W MAIN ST",
            "city": "KELSO",
            "state": "WA",
            "postal_code": "986261118",
            "telephone_number": "360-423-2806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 W MAIN ST",
            "city": "KELSO",
            "state": "WA",
            "postal_code": "986261118",
            "telephone_number": "360-423-2806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORENZO",
        "first_name": "MELODY",
        "middle_name": "KAY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-27",
        "last_updated": "2018-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP00001048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1801018528",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• LJS Furness Drug
• Claudia Loeber
• Amy Lomax
• Kathleen Frances Loney, MS MFT
• Longview Radiologists, P.S. Inc.
• Ryan Lorenzo, CDPT
• Love Overwhelming
• Olivia E Lovely, LMHC
• Audrie Beth Luczek, M.S. CCC-SLP
• Cathy Ludahl, CDP

• Addiction (Substance Use Disorder) Psychologist in Kelso, WA
• Providers in Kelso, WA by specialty
• Addiction (Substance Use Disorder) Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.