Individual provider Active NPI

Lori Leanne Soli, PHD LPCC ACS BCTMH

  • Professional Counselor
  • Hayward, WI
National Provider Identifier
1083337760
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2021018093 Issued in MO
Practice address
10436 Bay Ave
Hayward, WI 54843-2505
Phone
(858) 952-9571
NPI assigned
Sep 19, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0017243 CO
Professional Counselor 101YP2500X 8663-125 WI
Professional Counselor 101YP2500X 311 CA
Professional Counselor 101YP2500X 2021018093 MO Primary

Addresses

Primary practice location

10436 Bay Ave
Hayward, WI 54843-2505

Mailing address

41 Washington Ter
Saint Louis, MO 63112-1913
Phone (858) 952-9571

Other practice location 1

41 Washington Ter
Saint Louis, MO 63112-1913
Phone (858) 952-9571

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lori@manitouhealing.com Direct

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
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
0017243COMDProfessional Counselor
2021018093MOMDProfessional Counselor
8663-125WIMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1663545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1083337760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 WASHINGTON TER",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631121913",
            "telephone_number": "858-952-9571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10436 BAY AVE",
            "city": "HAYWARD",
            "state": "WI",
            "postal_code": "548432505",
            "telephone_number": "858-952-9571"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "41 Washington Ter",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631121913",
            "country_code": "US",
            "telephone_number": "858-952-9571",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOLI",
        "first_name": "LORI",
        "middle_name": "LEANNE",
        "name_prefix": "Dr.",
        "credential": "PHD LPCC ACS BCTMH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-19",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "0017243",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "8663-125",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "311",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2021018093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lori@manitouhealing.com",
            "affiliation": "N",
            "endpointDescription": "Business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "HIPAA compliant info",
            "address_1": "10436 Bay Ave",
            "city": "Hayward",
            "state": "WI",
            "country_code": "US",
            "postal_code": "548432505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hayward, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2025; 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.