Active NPI
Lori Dawn Mahala, LCSW, LCAS-A
- Clinical Social Worker
- Brevard, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C011851
- Practice address
- 29 W French Broad St Ste 202
Brevard, NC 28712-4773 - Phone
- (828) 883-5550
- Fax
- (828) 883-5525
- NPI assigned
- Nov 21, 2011
- Last updated
- Mar 2, 2023
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LCAS-25319 | NC | |
| Clinical Social Worker | 1041C0700X | 2011027080 | MO | |
| Clinical Social Worker | 1041C0700X | C011851 | NC | Primary |
Addresses
Primary practice location
29 W French Broad St Ste 202
Brevard, NC 28712-4773
Mailing address
220 5TH Ave E
Hendersonville, NC 28792-4377
Phone (828) 692-4289
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, KY
- 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
- Clinical Social Worker
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
110 N Corcoran St
Durham, NC 27701-5015
Phone (323) 205-7088
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCAS-25319 | NC | MD | Addiction (Substance Use Disorder) Counselor |
| 2011027080 | MO | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blue Ridge Community Health Services, Inc. | Current | Accepting new patients | |
| Blue Ridge Community Health Services, Inc. | Current | Accepting new patients | |
| Blue Ridge Community Health Services, Inc | Current | Accepting new patients | |
| Blue Ridge Community Health Services Inc | Current | Accepting new patients | |
| Mental Health Specialty Group PA | Current | Accepting new patients | |
| Kentucky Counseling Center, LLC | Current | Accepting new patients |
Locations
1169 Eastern Pkwy
Ste 3328
Louisville, KY 40217
Phone (205) 914-2526
29 W French Broad St
Ste 202
Brevard, NC 28712
Phone (828) 883-5550
220 5th Ave E
Hendersonvlle, NC 28792
Phone (828) 337-3372
2579 Chimney Rock Rd
Hendersonvlle, NC 28792
Phone (828) 692-3106
709 N Justice St
Ste B
Hendersonvlle, NC 28791
Phone (828) 696-1255
5540 Centerview Dr
Ste 204
Raleigh, NC 27606
Phone (704) 221-2320
Organizations & group practices 6
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.
-
dba Blue Ridge Community Health Services
- Federally Qualified Health Center (FQHC)
- Hendersonville, NC
- NPI 1225029051
-
dba Hendersonville Family Health Center
- Federally Qualified Health Center (FQHC)
- Hendersonville, NC
- NPI 1437593787
-
dba Brevard Health Center
- Federally Qualified Health Center (FQHC)
- Brevard, NC
- NPI 1750144119
-
dba Brevard Health Center
- Federally Qualified Health Center (FQHC)
- Brevard, NC
- NPI 1578827507
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677715200000",
"number": "1609143494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 5TH AVE E",
"city": "HENDERSONVILLE",
"state": "NC",
"postal_code": "287924377",
"telephone_number": "828-692-4289",
"fax_number": "828-696-1794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29 W FRENCH BROAD ST STE 202",
"city": "BREVARD",
"state": "NC",
"postal_code": "287124773",
"telephone_number": "828-883-5550",
"fax_number": "828-883-5525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAHALA",
"first_name": "LORI",
"middle_name": "DAWN",
"name_prefix": "Mrs.",
"credential": "LCSW, LCAS-A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-21",
"last_updated": "2023-03-02",
"certification_date": "2023-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "LCAS-25319",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MO",
"license": "2011027080",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C011851",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brevard, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2023; 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.