Active NPI
Lorelei Prevost
- Mental Health Counselor
- Washington, DC
National Provider Identifier
1477901502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- PSYA00082
- Practice address
- 5901 Utah Ave NW
Washington, DC 20015-1616 - Phone
- (202) 363-1333
- NPI assigned
- May 31, 2016
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | PSYA00082 | DC | Primary |
Addresses
Primary practice location
5901 Utah Ave NW
Washington, DC 20015-1616
Mailing address
1350 Connecticut Ave NW Ste 605
Washington, DC 20036-1735
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSYA00082 | DC | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554076800000",
"number": "1477901502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1350 CONNECTICUT AVE NW STE 605",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200361735"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5901 UTAH AVE NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200151616",
"telephone_number": "202-363-1333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PREVOST",
"first_name": "LORELEI",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-31",
"last_updated": "2019-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "DC",
"license": "PSYA00082",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.