Jeffrey Matthew Lorence, M,A., L.P.A.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1983 Issued in NC

Practice address

4425 Randolph Road - Suite# 328
Charlotte, NC 28211-2378

Phone

(704) 364-9024

NPI assigned

Apr 16, 2007

Sex

Male

Sole proprietor

Yes

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 NC

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

State licenses

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 and National Provider Directory roles.

• Array of Brighter Beginnings Inc

  • Community/Behavioral Health Agency
  • Gastonia, NC
  • NPI 1760808422
  Medicare reassignment NPD
• Transformative Life Center, LLC.

  • Community/Behavioral Health Agency
  • Monroe, NC
  • NPI 1154906667
  NPD (past)
• Transformative Life Center, LLC.

  • Psychologist
  • Matthews, NC
  • NPI 1215259874
  NPD (past)

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285859983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4425 RANDOLPH RD STE 328",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282112378",
            "telephone_number": "704-364-9024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4425 RANDOLPH ROAD - SUITE# 328",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282112378",
            "telephone_number": "704-364-9024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORENCE",
        "first_name": "JEFFREY",
        "middle_name": "MATTHEW",
        "name_prefix": "Mr.",
        "credential": "M,A., L.P.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "1983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Josefina Lorda Taylor, PA-C
• Carol P. Lorden-Lancelin, CCC-SLP
• Brittany E Lorden, OT
• Victoria Elliot Lore, M.D.
• Lisa Lorence del Valle, PSY.D.
• Anthony J Lorenger, PT
• William Richard Lorenz Jr.
• Gilberto Antonio Lorenzana
• Breeanna Elise Lorenzen
• Lorenzo Shewagn Divine Grainger

• Clinical Psychologist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Clinical Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.