Individual provider Active NPI

Lori Friestrom, MDIVPC, LMFT

  • Marriage & Family Therapist
  • Jeffersonville, IN
National Provider Identifier
1194906347
Registry record updated Nov 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
35001619A Issued in IN
Practice address
3101 Perimeter Dr
Jeffersonville, IN 47130-8866
Phone
(502) 741-8425
NPI assigned
Nov 15, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X KY-0668 KY
Marriage & Family Therapist 106H00000X 35001619A IN Primary

Addresses

Primary practice location

3101 Perimeter Dr
Jeffersonville, IN 47130-8866

Mailing address

3101 Perimeter Dr
Jeffersonville, IN 47130-8866
Phone (502) 741-8425

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
KY-0668KYMDProfessional Counselor
35001619AINMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195084800000",
    "number": "1194906347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 PERIMETER DR",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471308866",
            "telephone_number": "502-741-8425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 PERIMETER DR",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471308866",
            "telephone_number": "502-741-8425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIESTROM",
        "first_name": "LORI",
        "credential": "MDIVPC, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-15",
        "last_updated": "2007-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KY",
            "license": "KY-0668",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IN",
            "license": "35001619A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jeffersonville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2007; 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.