Organization Active NPI

Dr. Lori Nabors Psychotherapy, PLLC

  • Clinical Psychologist
  • Peoria, IL
National Provider Identifier
1306700612
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
DR. LORI NABORS PSYCHOTHERAPY, PLLC
Practice address
2601 W Lake Ave Ste 6a
Peoria, IL 61615-3777
Phone
(815) 310-5881
NPI assigned
Dec 11, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Lori Michelle Nabors, PSYDNPI 1720431851
Title
Clinical Psychologist
Phone
(815) 310-5881

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

2601 W Lake Ave Ste 6a
Peoria, IL 61615-3777

Mailing address

2601 West Lake Avenue
Suite a-6, #243
Peoria, IL 61615
Phone (815) 310-5881

National Provider Directory

National Provider Directory

Locations

2601 W Lake Ave
Ste 6A
Peoria, IL 61615
Phone (815) 310-5881

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1765411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765411200000",
    "number": "1306700612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 WEST LAKE AVENUE",
            "address_2": "SUITE A-6, #243",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "61615",
            "telephone_number": "815-310-5881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 W LAKE AVE STE 6A",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616153777",
            "telephone_number": "815-310-5881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. LORI NABORS PSYCHOTHERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-11",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-02",
        "status": "A",
        "authorized_official_last_name": "NABORS",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "815-310-5881",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.