Mary C Lohse, L.C.S.W.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

4626 SW Ott CT
Port St Lucie, FL 34953-6643

Phone

(772) 224-6610

Fax

(772) 237-4812

NPI assigned

Feb 8, 2007

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)

Enrolled

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290038400000",
    "number": "1619017456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4626 SW OTT CT",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349536643",
            "telephone_number": "772-224-6610",
            "fax_number": "772-237-4812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4626 SW OTT CT",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349536643",
            "telephone_number": "772-224-6610",
            "fax_number": "772-237-4812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOHSE",
        "first_name": "MARY",
        "middle_name": "C",
        "credential": "L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2010-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "DA330A",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christina Anna-Kaye Locke-McDonald, APRN
• Bridget Locke
• Cleo Lina Marielle Loefman Lopez, APRN
• Judith Felton Logue, PHD
• Heidi Stelling Lohse, PHARMD
• Ashley Long, PHARMD
• Aliyah Longhurst, BCBA, LMFT
• Lisette Longo, PT
• Lookadoo Skyline Laboratory Inc
• Vickie Loomis

• Mental Health Counselor in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2010; 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.