Active NPI
Lori Ann Petry
- Professional Counselor
- Beckley, WV
National Provider Identifier
1073378311
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2934
- Practice address
- 25 Mallard CT
Beckley, WV 25801-3664 - Phone
- (304) 255-7526
- Fax
- (304) 252-2329
- NPI assigned
- Feb 15, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2934 | WV | Primary |
| Mental Health Counselor | 101YM0800X |
Addresses
Primary practice location
25 Mallard CT
Beckley, WV 25801-3664
Mailing address
1504 C and O Dam Rd
Daniels, WV 25832-9649
Phone (304) 254-4812
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2021
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
25 Mallard CT
Beckley, WV 25801-3664
Phone (304) 255-7526
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Life Strategies Counseling Services Inc. | Current | Accepting new patients |
Locations
25 Mallard Ct
Beckley, WV 25801
Phone (304) 255-2527
1607 W Main St
Princeton, WV 24740
Phone (304) 255-7526
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 and National Provider Directory roles.
-
- Clinical Social Worker
- Beckley, WV
- NPI 1700837143
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708041600000",
"number": "1073378311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1504 C AND O DAM RD",
"city": "DANIELS",
"state": "WV",
"postal_code": "258329649",
"telephone_number": "304-254-4812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 MALLARD CT",
"city": "BECKLEY",
"state": "WV",
"postal_code": "258013664",
"telephone_number": "304-255-7526",
"fax_number": "304-252-2329"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETRY",
"first_name": "LORI",
"middle_name": "ANN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-02-15",
"last_updated": "2024-02-16",
"certification_date": "2024-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WV",
"license": "2934",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beckley, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.