Individual provider Active NPI

Lorrie Ann Woloszyn

  • Mental Health Counselor
  • Newark Valley, NY
National Provider Identifier
1639857584
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
120047-01 Issued in NY
Practice address
50 Whig St
Newark Valley, NY 13811-2420
Phone
(697) 239-7066
NPI assigned
Jul 10, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 120047-01 NY Primary

Addresses

Primary practice location

50 Whig St
Newark Valley, NY 13811-2420

Mailing address

50 Whig St
Newark Valley, NY 13811-2420
Phone (697) 239-7066

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

LicenseStateTypeSpecialty
120047-01NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Association of the Southern Tier, Inc. Current Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1688947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1639857584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 WHIG ST",
            "city": "NEWARK VALLEY",
            "state": "NY",
            "postal_code": "138112420",
            "telephone_number": "697-239-7066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 WHIG ST",
            "city": "NEWARK VALLEY",
            "state": "NY",
            "postal_code": "138112420",
            "telephone_number": "697-239-7066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLOSZYN",
        "first_name": "LORRIE",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-10",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "120047-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark Valley, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; 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.