Lori J Clancy, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

5280 Issued in NC

Practice address

91 Timberlane Rd
Waynesville, NC 28786-7927

Phone

(828) 454-1098

Fax

(877) 346-1089

NPI assigned

Aug 12, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Revive and Restore Counseling Services PLLC

  • Professional Counselor
  • Waynesville, NC
  • NPI 1518694702
  NPD Authorized official

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411344000000",
    "number": "1457363046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 444",
            "city": "MURPHY",
            "state": "NC",
            "postal_code": "289060444",
            "telephone_number": "828-837-0071",
            "fax_number": "828-837-5309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 TIMBERLANE RD",
            "city": "WAYNESVILLE",
            "state": "NC",
            "postal_code": "287867927",
            "telephone_number": "828-454-1098",
            "fax_number": "877-346-1089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLANCY",
        "first_name": "LORI",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-12",
        "last_updated": "2014-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "5280",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6103225",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kara Chandler, COTA/L
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• Ella Childs Churchill, N.P.
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• Jamie Clark, MA, LCMHC
• Terrance P Clark, MD
• Melina Patton Cline, OTA/L
• CM Pharmacy LLC
• CNC/Access, Inc.

• Professional Counselor in Waynesville, NC
• Providers in Waynesville, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2014; 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.