Individual provider Active NPI

Lora Strey Shokes, LMFT

  • Marriage & Family Therapist
  • Minneapolis, MN
National Provider Identifier
1083363162
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
730 E 38TH St
Minneapolis, MN 55407-5217
Phone
(612) 712-6208
Fax
(612) 249-0078
NPI assigned
Mar 23, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MN Primary

Addresses

Primary practice location

730 E 38TH St
Minneapolis, MN 55407-5217

Mailing address

24893 Norway Pine PL
Emily, MN 56447-5019
Phone (612) 712-6208

Other names 1

  • Lora Strey Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20240923001152 MN Practitioner - Marriage and Family Therapist 8325589955 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4030MNMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Edges Wellness Center LLC Marriage & Family Therapist CurrentSince Sep 1, 2024 Accepting new patients

Locations

730 E 38th St
Ste 101
Minneapolis, MN 55407
Phone (612) 217-0584

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": "1647993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1083363162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24893 NORWAY PINE PL",
            "city": "EMILY",
            "state": "MN",
            "postal_code": "564475019",
            "telephone_number": "612-712-6208",
            "fax_number": "612-249-0078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 E 38TH ST",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554075217",
            "telephone_number": "612-712-6208",
            "fax_number": "612-249-0078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOKES",
        "first_name": "LORA",
        "middle_name": "STREY",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-23",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORA",
            "last_name": "STREY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.