Lori A Gampp, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2021005122 Issued in MO

Practice address

1300 Hampton Ave Ste 200
Saint Louis, MO 63139-3163

Phone

(314) 668-2804

NPI assigned

May 19, 2021

Last updated

Nov 7, 2023By the provider in NPPES

Sex

Female

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 MO

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Soulard Place LLC

  dba Ember Mental Wellness

  • Mental Health Counselor
  • Saint Louis, MO
  • NPI 1710697404
  Medicare reassignment NPD

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

{
    "created_epoch": "1621382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699315200000",
    "number": "1235703570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 HAMPTON AVE STE 200",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631393163",
            "telephone_number": "314-668-2804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 HAMPTON AVE STE 200",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631393163",
            "telephone_number": "314-668-2804"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1570 S Main St",
            "address_purpose": "LOCATION",
            "city": "Saint Charles",
            "state": "MO",
            "postal_code": "633034149",
            "country_code": "US",
            "telephone_number": "636-224-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAMPP",
        "first_name": "LORI",
        "middle_name": "A",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-19",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2021005122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justine Emily Gamblin
• Claudia Obimaa Gambrah-Lyles, MD
• Gamma Healthcare, Inc
• Julie K Gammack, MD
• Samantha Gammon
• Jehan Ganachaud, MA, NCC, PLPC
• Avi Gandhi
• Hiralben B Gandhi, FNP
• Rhythm Gandhi, DO
• Ritesh Gandhi, MD

• Professional Counselor in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.