Lydia Elizabeth Torres, LCMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A16528 Issued in NC

Practice address

1319 N Brightleaf Blvd Ste F
Smithfield, NC 27577-4876

Phone

(919) 934-1312

NPI assigned

Jan 24, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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.

• Pride in North Carolina, LLC

  • Community/Behavioral Health Agency
  • Greenville, NC
  • NPI 1760420186

  Mental Health

  Medicare reassignment NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  NC

  Medicare reassignment
• Pride in North Carolina, LLC

  • Community/Behavioral Health Agency
  • Jacksonville, NC
  • NPI 1821136581

  Mental Health

  NPD
• Phoenix Programs of Florida, Inc. Dba Phoenix Houses of Florida, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Tampa, FL
  • NPI 1477949303
  NPD (past)

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

{
    "created_epoch": "1390521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655337600000",
    "number": "1447673546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1319 N BRIGHTLEAF BLVD STE F",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275774876",
            "telephone_number": "919-934-1312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1319 N BRIGHTLEAF BLVD STE F",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275774876",
            "telephone_number": "919-934-1312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORRES",
        "first_name": "LYDIA",
        "middle_name": "ELIZABETH",
        "credential": "LCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-24",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A16528",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH6575",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Raven
• Jodi Tholen Bailey, M.D.
• Isidora Thomas, MS, CCC-SLP
• Riley Marie Thomas, MS SLP
• Izabelle Marlene Thompson, PA-C
• Town of Smithfield
• Trevor V. Fraser, DDS PA
• Tri County Community Health Council Inc
• Triangle East Surgery P a
• Triangle Premier Women'S Health, P.a.

• Mental Health Counselor in Smithfield, NC
• Providers in Smithfield, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2022; 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.