Individual provider Active NPI

Lorraine Diane Cadwallader, LPC

  • Professional Counselor
  • Denton, TX
National Provider Identifier
1124724927
Registry record updated Feb 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
82196 Issued in TX
Practice address
1300 Fulton St Ste 402
Denton, TX 76201-2661
Phone
(940) 382-5328
Fax
(940) 898-8527
NPI assigned
Feb 2, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 82196 TX Primary

Addresses

Primary practice location

1300 Fulton St Ste 402
Denton, TX 76201-2661

Mailing address

1300 Fulton St Ste 402
Denton, TX 76201-2661
Phone (940) 382-5328

Other practice location 1

1614 Scripture St Ste 200
Denton, TX 76201-8916
Phone (940) 382-5328 ext. 62

Other practice location 2

326 S Edmonds Ln Ste 302
Lewisville, TX 75067-3580
Phone (940) 382-5328 ext. 62

Other identifiers 1

IdentifierTypeStateIssuer
82196OtherTXLICENSED PROFESSIONAL COUNSELOR

Other names 1

  • Lori D Cadwallader Other 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

State licenses

LicenseStateTypeSpecialty
82196TXMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1675296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675296000000",
    "number": "1124724927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 FULTON ST STE 402",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762012661",
            "telephone_number": "940-382-5328",
            "fax_number": "940-898-8527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 FULTON ST STE 402",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762012661",
            "telephone_number": "940-382-5328",
            "fax_number": "940-898-8527"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1614 Scripture St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Denton",
            "state": "TX",
            "postal_code": "762018916",
            "country_code": "US",
            "telephone_number": "940-382-5328 x62",
            "fax_number": "940-898-8527",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "326 S Edmonds Ln Ste 302",
            "address_purpose": "LOCATION",
            "city": "Lewisville",
            "state": "TX",
            "postal_code": "750673580",
            "country_code": "US",
            "telephone_number": "940-382-5328 x62",
            "fax_number": "940-898-8527",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CADWALLADER",
        "first_name": "LORRAINE",
        "middle_name": "DIANE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-02",
        "last_updated": "2023-02-02",
        "certification_date": "2023-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "82196",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED PROFESSIONAL COUNSELOR",
            "identifier": "82196",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORI",
            "last_name": "CADWALLADER",
            "middle_name": "D",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Denton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2023; 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.