Active NPI
Lori Jenner
- Professional Counselor
- Columbia, MD
National Provider Identifier
1417260597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LC2919
- Practice address
- 10451 Twin Rivers Rd
Columbia, MD 21044-2388 - Phone
- (410) 099-7355
- Fax
- (410) 964-1791
- NPI assigned
- Jul 19, 2010
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LC2919 | MD | Primary |
Addresses
Primary practice location
10451 Twin Rivers Rd
Columbia, MD 21044-2388
Mailing address
4623 Falls Rd
Baltimore, MD 21209-4914
Phone (410) 366-1980
Other names 1
- Lori Jenner
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4933 Tamiami TRL N
Suite 200
Naples, FL 34103-3028
Phone (347) 830-7720
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC2919 | MD | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thriving Lane | Current | Accepting new patients |
Locations
4933 Tamiami Trl N
Ste 200
Naples, FL 34103
Phone (239) 272-9157
200 2nd Ave S
St Petersburg, FL 33701
Phone (727) 465-8515
2801 Buford Hwy NE
Ste T10
Brookhaven, GA 30329
Phone (404) 397-8302
Interoperability endpoints
- thrivinglanellc.lorijenner@149897.advancedmd-direct.com
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": "1279497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279497600000",
"number": "1417260597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4623 FALLS RD",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212094914",
"telephone_number": "410-366-1980",
"fax_number": "410-366-8530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10451 TWIN RIVERS RD",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210442388",
"telephone_number": "410-099-7355",
"fax_number": "410-964-1791"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENNER",
"first_name": "LORI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-19",
"last_updated": "2010-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LC2919",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LORI",
"last_name": "JENNER",
"credential": "LCPC",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Columbia, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2010; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.