Individual provider Active NPI

Lori Gwen Pegram, LCMHC

  • Mental Health Counselor
  • Asheboro, NC
National Provider Identifier
1235011602
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A21766 Issued in NC
Practice address
614 Morgan Country Rd
Asheboro, NC 27203-8342
Phone
(336) 629-9589
NPI assigned
Jul 24, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X A21766 NC Primary

Addresses

Primary practice location

614 Morgan Country Rd
Asheboro, NC 27203-8342

Mailing address

515 Spring Garden St Unit G
Greensboro, NC 27401-2746
Phone (336) 251-8760

Other practice location 1

515 Spring Garden St Unit G
Greensboro, NC 27401-2746
Phone (336) 251-8760

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

LicenseStateTypeSpecialty
A21766NCMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1753315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1235011602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 SPRING GARDEN ST UNIT G",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274012746",
            "telephone_number": "336-251-8760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 MORGAN COUNTRY RD",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272038342",
            "telephone_number": "336-629-9589"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "515 Spring Garden St Unit G",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274012746",
            "country_code": "US",
            "telephone_number": "336-251-8760",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEGRAM",
        "first_name": "LORI",
        "middle_name": "GWEN",
        "credential": "LCMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-24",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A21766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2025; 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.