Individual provider Active NPI

Loretta Kay Pickford, LPC, NCC

  • Professional Counselor
  • Lake City, MI
National Provider Identifier
1376973065
Registry record updated Sep 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401013887 Issued in MI
Practice address
4101 W Forest Rd
Lake City, MI 49651-9710
Phone
(231) 434-8587
NPI assigned
Nov 18, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401013887 MI Primary

Addresses

Primary practice location

4101 W Forest Rd
Lake City, MI 49651-9710

Mailing address

4101 W Forest Rd
Lake City, MI 49651-9710
Phone (231) 434-8587

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20250514002550 MI Practitioner - Mental Health Counselor 4183142060 Practice locations: Lake City, MI

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6401013887MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Heart Centered Services, PLLC CurrentSince Oct 1, 2023 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": "1384732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695686400000",
    "number": "1376973065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 W FOREST RD",
            "city": "LAKE CITY",
            "state": "MI",
            "postal_code": "496519710",
            "telephone_number": "231-434-8587",
            "fax_number": "844-206-0063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 W FOREST RD",
            "city": "LAKE CITY",
            "state": "MI",
            "postal_code": "496519710",
            "telephone_number": "231-434-8587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICKFORD",
        "first_name": "LORETTA",
        "middle_name": "KAY",
        "credential": "LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-18",
        "last_updated": "2023-09-26",
        "certification_date": "2022-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401013887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake City, MI

Sources for this page

Verify at the official NPI Registry.