Lori Anne Cowan, LPC, LMFT

Key facts

NPI

1225344245

Entity type

Individual (NPI type 1)

Primary specialty

Professional Counselor 101YP2500X

License

0701002396 (VA)

Practice address

9120 Beaver Bridge Rd
Moseley, VA 23120-1497

Phone

(804) 739-0350

Fax

(804) 639-5492

NPI assigned

Aug 27, 2010

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 12, 2024 through Apr 12, 2028

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

Other names

• Miss Lori Anne Jones Former name

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 27, 2010.

{
    "created_epoch": "1282867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282867200000",
    "number": "1225344245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P. O. BOX 287",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "23113",
            "telephone_number": "804-739-0350",
            "fax_number": "804-639-5492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9120 BEAVER BRIDGE RD",
            "city": "MOSELEY",
            "state": "VA",
            "postal_code": "231201497",
            "telephone_number": "804-739-0350",
            "fax_number": "804-639-5492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COWAN",
        "first_name": "LORI",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "LPC, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-27",
        "last_updated": "2010-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701002396",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "VA",
            "license": "0717000485",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORI",
            "last_name": "JONES",
            "middle_name": "ANNE",
            "prefix": "MISS",
            "credential": "LPC, LMFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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All providers in Moseley, VA · Professional Counselor in Virginia