Organization Active NPI

Lotus Crossing

Doing business as The Lotus Crossing, LLC

  • Clinical Social Worker
  • Delta, OH
National Provider Identifier
1215650148
Registry record updated Sep 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
LOTUS CROSSING
Doing business as
The Lotus Crossing, LLC
Practice address
412 Main St
Delta, OH 43515-1315
Phone
(419) 779-3885
NPI assigned
Sep 26, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2023

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

Authorized official

Name
Lora Meyers, LISW-SNPI 1376049106
Title
Owner
Phone
(419) 852-5667

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

412 Main St
Delta, OH 43515-1315

Mailing address

104 Pennsylvania Ave
Swanton, OH 43558-1336
Phone (419) 852-5667

Other names 1

  • The Lotus Crossing, LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230906001869 OH Part B Supplier - Clinic/Group Practice 2668835851 Receives reassigned benefits from 1 practitioner
Practice locations: Swanton, OH

National Provider Directory

National Provider Directory

Locations

412 Main St
Delta, OH 43515
Phone (419) 779-3885

1 Turtle Creek Cir
Ste B
Swanton, OH 43558
Phone (419) 318-9654

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1664150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694649600000",
    "number": "1215650148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 PENNSYLVANIA AVE",
            "city": "SWANTON",
            "state": "OH",
            "postal_code": "435581336",
            "telephone_number": "419-852-5667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 MAIN ST",
            "city": "DELTA",
            "state": "OH",
            "postal_code": "435151315",
            "telephone_number": "419-779-3885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOTUS CROSSING",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-26",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A",
        "authorized_official_last_name": "MEYERS",
        "authorized_official_first_name": "LORA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-852-5667",
        "authorized_official_credential": "LISW-S"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Lotus Crossing, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Delta, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.