Individual provider Active NPI

Lori Jean Mohring, MS, LPC, SAC

  • Professional Counselor
  • Black River Falls, WI
National Provider Identifier
1104339118
Registry record updated Nov 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3072-125 Issued in WI
Practice address
420 Wi-54
Black River Falls, WI 54615
Phone
(715) 284-4301
Fax
(715) 284-7713
NPI assigned
Nov 13, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 12672-131 WI
Professional Counselor 101YP2500X 3072-125 WI Primary

Addresses

Primary practice location

420 Wi-54
Black River Falls, WI 54615

Mailing address

406 N Water St
Sparta, WI 54656-1743

Other names 1

  • Lori Jean Kittleson Former name

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
Master of Science

State licenses

LicenseStateTypeSpecialty
12672-131WIMDAddiction (Substance Use Disorder) Counselor
3072-125WIMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1510531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510531200000",
    "number": "1104339118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 N WATER ST",
            "city": "SPARTA",
            "state": "WI",
            "postal_code": "546561743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 WI-54",
            "city": "BLACK RIVER FALLS",
            "state": "WI",
            "postal_code": "54615",
            "telephone_number": "715-284-4301",
            "fax_number": "715-284-7713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHRING",
        "first_name": "LORI",
        "middle_name": "JEAN",
        "credential": "MS, LPC, SAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-13",
        "last_updated": "2017-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "12672-131",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "3072-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORI",
            "last_name": "KITTLESON",
            "middle_name": "JEAN",
            "credential": "MS, LPC, SAC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Black River Falls, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2017; 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.