Lorenz Vassa Falls

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A12546 Issued in NC

Practice address

1260 College Ave Ste 1
Wilkesboro, NC 28697-2700

Phone

(336) 818-0734

NPI assigned

Jul 20, 2021

Last updated

Jul 20, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Jodi Province Counseling Services PLLCGroup PAC ID 3678726569, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: vassa.falls@direct.jpcs.nchie.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jodi Province Counseling Services PLLC

  • Mental Health Counselor
  • Wilkesboro, NC
  • NPI 1194050435
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1626739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626739200000",
    "number": "1205409935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 COLLEGE AVE STE 1",
            "city": "WILKESBORO",
            "state": "NC",
            "postal_code": "286972700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 COLLEGE AVE STE 1",
            "city": "WILKESBORO",
            "state": "NC",
            "postal_code": "286972700",
            "telephone_number": "336-818-0734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALLS",
        "first_name": "LORENZ",
        "middle_name": "VASSA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-20",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A12546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Easter Seals Ucp North Carolina & Virginia, Inc.
• Pamela Goodman Edwards, M. A. CCC-SLP
• Rachael Michelle Everett, LCSWA
• Sharon Watkins Everidge, LPTA
• Erica Falls, LCSWA
• Family Chiropractic PC
• Fathom Counseling, PLLC
• Ashton Blake Fioravanti, D.D.S
• Kimberly Eldridge Forester, LPC
• Anna Foster, MS, OTR/L

• Mental Health Counselor in Wilkesboro, NC
• Providers in Wilkesboro, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.