Individual provider Active NPI

Lori Van Dresar, LPC, CCTP

  • Mental Health Counselor
  • Conroe, TX
National Provider Identifier
1255082491
Registry record updated Feb 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
81900 Issued in TX
Practice address
100 Commercial Circle
Building B-Back Entrance
Conroe, TX 77304
Phone
(832) 299-4802
NPI assigned
Jan 10, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2023

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 81900 TX Primary

Addresses

Primary practice location

100 Commercial Circle
Building B-Back Entrance
Conroe, TX 77304

Mailing address

3813 Copper MTN
Montgomery, TX 77356-7937
Phone (713) 822-0054

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 28, 2024 through Feb 29, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
81900TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Breakthrough Counseling, PLLC Mental Health CurrentSince Feb 9, 2025 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1641772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676592000000",
    "number": "1255082491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3813 COPPER MTN",
            "city": "MONTGOMERY",
            "state": "TX",
            "postal_code": "773567937",
            "telephone_number": "713-822-0054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 COMMERCIAL CIRCLE",
            "address_2": "BUILDING B-BACK ENTRANCE",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "77304",
            "telephone_number": "832-299-4802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN DRESAR",
        "first_name": "LORI",
        "credential": "LPC, CCTP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-10",
        "last_updated": "2023-02-17",
        "certification_date": "2023-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "81900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

Verify at the official NPI Registry.