Active NPI
Loren Cronk, LMFT
- Marriage & Family Therapist
- Mount Shasta, CA
National Provider Identifier
1114121589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT31544
- Practice address
- 1180 S Mount Shasta Blvd
Mount Shasta, CA 96067-2764 - Phone
- (530) 949-9989
- Fax
- (844) 644-3159
- NPI assigned
- Jun 12, 2007
- Last updated
- Oct 14, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LMFT31544 | CA | Primary |
Addresses
Primary practice location
1180 S Mount Shasta Blvd
Mount Shasta, CA 96067-2764
Mailing address
PO Box 71
Mount Shasta, CA 96067-0071
Phone (530) 949-9989
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 14, 2024 through Feb 14, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMFT31544 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728864000000",
"number": "1114121589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 71",
"city": "MOUNT SHASTA",
"state": "CA",
"postal_code": "960670071",
"telephone_number": "530-949-9989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1180 S MOUNT SHASTA BLVD",
"city": "MOUNT SHASTA",
"state": "CA",
"postal_code": "960672764",
"telephone_number": "530-949-9989",
"fax_number": "844-644-3159"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRONK",
"first_name": "LOREN",
"name_prefix": "Mr.",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-12",
"last_updated": "2024-10-14",
"certification_date": "2024-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "LMFT31544",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Shasta, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.