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Individual provider Active NPI

Lori J Ohrt, LISW

  • Clinical Social Worker
  • Fort Dodge, IA
National Provider Identifier
1104885375
Registry record updated Dec 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
00753 Issued in IA
Practice address
720 Kenyon Rd
North Central Iowa Mental Health Center Inc Dba Unitypo
Fort Dodge, IA 50501-5759
Phone
(515) 955-7171
Fax
(515) 573-7898
NPI assigned
Mar 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 00753 IA Primary

Addresses

Primary practice location

720 Kenyon Rd
North Central Iowa Mental Health Center Inc Dba Unitypo
Fort Dodge, IA 50501-5759

Mailing address

720 Kenyon Rd
North Central Iowa Mental Health Center Inc Dba Unitypo
Fort Dodge, IA 50501-5759
Phone (515) 955-7171

Other identifiers 2

IdentifierTypeStateIssuer
07466OtherIAWELLMARK BCBS
0159608MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, MN2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140422002173 IA Practitioner - Clinical Social Worker 5294967451 Reassigns benefits to 2 organizations
I20260626000804 MN Practitioner - Clinical Social Worker 5294967451 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1984
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
North Central Iowa Mental Health Center, Inc 16 clinicians

Practice addresses (Care Compare)

20550 County Rd
Suite 30
Rogers, MN 55374-9390
Phone (515) 955-7171

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00753IAMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
North Central Iowa Mental Health Center Inc CurrentSince Apr 7, 2014 Accepting new patients
North Central Iowa Mental Health Center Inc CurrentSince Apr 7, 2014 Accepting new patients
Trinity Regional Medical Center CurrentSince Dec 24, 2017 Accepting new patients
North Central Iowa Mental Health Center, Inc Past Accepting new patients
North Central Iowa Mental Health Center, Inc Past Accepting new patients
North Central Iowa Mental Health Center, Inc Past Accepting new patients
North Central Iowa Mental Health Center, Inc Past Accepting new patients
North Central Iowa Mental Health Center, Inc Past Accepting new patients
North Central Iowa Mental Health Center, Inc Past Accepting new patients
North Central Iowa Mental Health Center, Inc Past Accepting new patients
Paul Anderson Past Accepting new patients

Locations

802 Kenyon Rd
Fort Dodge, IA 50501
Phone (515) 574-6565

1428 2nd Ave N
Fort Dodge, IA 50501
Phone (515) 573-1145

720 Kenyon Rd
Fort Dodge, IA 50501
Phone (515) 570-8261

1000 15th St N
Humboldt, IA 50548
Phone (515) 332-4200

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449014400000",
    "number": "1104885375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 KENYON RD",
            "address_2": "NORTH CENTRAL IOWA MENTAL HEALTH CENTER INC DBA UNITYPO",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505015759",
            "telephone_number": "515-955-7171",
            "fax_number": "515-573-7898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 KENYON RD",
            "address_2": "NORTH CENTRAL IOWA MENTAL HEALTH CENTER INC DBA UNITYPO",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505015759",
            "telephone_number": "515-955-7171",
            "fax_number": "515-573-7898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OHRT",
        "first_name": "LORI",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-17",
        "last_updated": "2015-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "00753",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BCBS",
            "identifier": "07466",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0159608",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Dodge, IA

Sources for this page

Verify at the official NPI Registry.