Lori Thompson, LMHC; NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

008418 Issued in NY

Practice address

6 Roosevelt Ave
Port Jefferson Station, NY 11776-3364

Phone

(631) 619-3339

NPI assigned

Jan 8, 2018

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• The Way Forward Mental Health Counseling PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bohemia, NY
  • NPI 1851878961
  NPD (past) Authorized official

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

{
    "created_epoch": "1515369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515369600000",
    "number": "1356858617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1069 MAIN ST STE 193",
            "city": "HOLBROOK",
            "state": "NY",
            "postal_code": "117411618",
            "telephone_number": "631-619-3339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 ROOSEVELT AVE",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117763364",
            "telephone_number": "631-619-3339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "LORI",
        "credential": "LMHC; NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-08",
        "last_updated": "2018-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "008418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Way of Acupuncture P.C.
• Theodore Randolph,DPM
• Anthony C Theodoris, M.D.
• Thomas P. Erhart DO PC
• Shani Thomas
• Lynnette Thompson, LPN
• Kayla Thorsen, OTR/L
• Three Village Neurology, P.C.
• Barbara Tierno
• Bernadette Marie Timko, OTR/L

• Mental Health Counselor in Port Jefferson Station, NY
• Providers in Port Jefferson Station, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2018; 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.