Sephora Lortie, LMHC, LAC, MA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

39003332A Issued in IN

Practice address

535 Airport North Office Park
Fort Wayne, IN 46825-6705

Phone

(260) 619-1603

Fax

(260) 818-2121

NPI assigned

Aug 16, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Self Care Counseling, LLC

  • Mental Health Counselor
  • Fort Wayne, IN
  • NPI 1588419253

  Addiction (Substance Use Disorder)

  NPD Authorized official

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

{
    "created_epoch": "1502841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1124544697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 AIRPORT NORTH OFFICE PARK",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468256705",
            "telephone_number": "260-619-1603",
            "fax_number": "260-818-2121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 AIRPORT NORTH OFFICE PARK",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468256705",
            "telephone_number": "260-619-1603",
            "fax_number": "260-818-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORTIE",
        "first_name": "SEPHORA",
        "credential": "LMHC, LAC, MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-16",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IN",
            "license": "86000377A",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39003332A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Leigh Lopez
• Dana Lorber, PHARMD
• Thomas J Lorenc, MD
• Donna M. Lorntz, NP
• Kaley R. Lortie
• Brent Alan Losier, PHARMACIST
• Jennifer Coronado Losier, D.D.S.
• Kurt Losier
• Karen S Lothamer, RN, CNS
• Sarah Ann Lothamer, BCBA

• Mental Health Counselor in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Mental Health Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2024; 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.