Active NPI
Lori Van Dresar, LPC, CCTP
- Mental Health Counselor
- Conroe, TX
National Provider Identifier
1255082491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 81900
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 81900 | TX | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Breakthrough Counseling, PLLC | Mental Health | Current | 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.
-
- Mental Health Counselor
- Conroe, TX
- NPI 1790599272
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.