Individual provider Active NPI

Lori Bondalapati, MA, LPC, CAADC

  • Counselor
  • Troy, MI
National Provider Identifier
1518345545
Registry record updated Aug 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
6401016252 Issued in MI
Practice address
888 W Big Beaver Rd Ste 780
Troy, MI 48084-4745
Phone
(248) 907-0775
NPI assigned
May 11, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X C-03704 MI
Mental Health Counselor 101YM0800X
Professional Counselor 101YP2500X 6401016252 MI
Counselor 101Y00000X 6401016252 MI Primary

Addresses

Primary practice location

888 W Big Beaver Rd Ste 780
Troy, MI 48084-4745

Mailing address

1221 Bowers St Unit 89
Birmingham, MI 48012-7111
Phone (248) 907-0775

Other practice location 1

2000 W 14 Mile Rd
Royal Oak, MI 48073-1442
Phone (248) 907-0775

Other identifiers 1

IdentifierTypeStateIssuer
1518345545MedicaidMI

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6401016252MIMDCounselor
C-03704MIMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lets Talk Therapy PLC Counselor CurrentSince Aug 30, 2020 Accepting new patients
Recovery Consultants Inc PastSince Jul 25, 2019 Accepting new patients

Locations

1221 Bowers St
Unit 89
Birmingham, MI 48012

888 W Big Beaver Rd
Ste 780
Troy, MI 48084
Phone (248) 270-5660

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1431302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598572800000",
    "number": "1518345545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 BOWERS ST UNIT 89",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480127111",
            "telephone_number": "248-907-0775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 W BIG BEAVER RD STE 780",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480844745",
            "telephone_number": "248-907-0775"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 W 14 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Royal Oak",
            "state": "MI",
            "postal_code": "480731442",
            "country_code": "US",
            "telephone_number": "248-907-0775",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BONDALAPATI",
        "first_name": "LORI",
        "credential": "MA, LPC, CAADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-11",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "C-03704",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401016252",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401016252",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1518345545",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2020; 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.