Active NPI
Lori L Baril, CSAC
- Addiction (Substance Use Disorder) Counselor
- Sheboygan, WI
National Provider Identifier
1245487602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 15625-130
- Practice address
- 2842 S Business Dr
B107
Sheboygan, WI 53081-6518 - Phone
- (920) 458-6527
- Fax
- (920) 458-6623
- NPI assigned
- Aug 27, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 15625-130 | WI | Primary |
Addresses
Primary practice location
2842 S Business Dr
B107
Sheboygan, WI 53081-6518
Mailing address
4104 Driftwood CT
B107
Sheboygan, WI 53081-1794
Phone (623) 692-7078
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
| License | State | Type | Specialty |
|---|---|---|---|
| 15625-130 | WI | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323388800000",
"number": "1245487602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4104 DRIFTWOOD CT",
"address_2": "B107",
"city": "SHEBOYGAN",
"state": "WI",
"postal_code": "530811794",
"telephone_number": "623-692-7078",
"fax_number": "920-458-6623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2842 S BUSINESS DR",
"address_2": "B107",
"city": "SHEBOYGAN",
"state": "WI",
"postal_code": "530816518",
"telephone_number": "920-458-6527",
"fax_number": "920-458-6623"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARIL",
"first_name": "LORI",
"middle_name": "L",
"credential": "CSAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-27",
"last_updated": "2011-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WI",
"license": "15625-130",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sheboygan, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.