Active NPI
Lori Jean Stottler, LMHC
- Mental Health Counselor
- Cocoa Beach, FL
National Provider Identifier
1194492926
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 15689
- Practice address
- 457 Blakey Blvd
Cocoa Beach, FL 32931-2803 - Phone
- (321) 347-4705
- NPI assigned
- Aug 28, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 15689 | FL | Primary |
Addresses
Primary practice location
457 Blakey Blvd
Cocoa Beach, FL 32931-2803
Mailing address
457 Blakey Blvd
Cocoa Beach, FL 32931-2803
Phone (321) 347-4705
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
| License | State | Type | Specialty |
|---|---|---|---|
| 15689 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630108800000",
"number": "1194492926",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "457 BLAKEY BLVD",
"city": "COCOA BEACH",
"state": "FL",
"postal_code": "329312803",
"telephone_number": "321-347-4705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "457 BLAKEY BLVD",
"city": "COCOA BEACH",
"state": "FL",
"postal_code": "329312803",
"telephone_number": "321-347-4705"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOTTLER",
"first_name": "LORI",
"middle_name": "JEAN",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-08-28",
"last_updated": "2021-08-28",
"certification_date": "2021-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "15689",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cocoa Beach, FL
- Ron Stark, LMHC
- John Frank Stephens, LMT
- Donald A, Stewart, PSY.D.
- Barbara Wooden Stickle, LMT
- Ellwood Herbert Stoddard, RPH
- Sunshine Healthcare Solutions Inc
- Sunshine Healthcare Solutions of Brevard LLC
- Surfside Family Medicine LLC
- Surfside Family Practice LLC
- Surgical Specialists of Central Brevard PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.