Individual provider Active NPI

Lori O'Leary, MA, LPC, LCADC

  • Addiction (Substance Use Disorder) Counselor
  • Barrington, NJ
National Provider Identifier
1669537320
Registry record updated Feb 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
37LC00070300 Issued in NJ
Practice address
630 Clements Bridge Rd
Barrington, NJ 08007-1814
Phone
(856) 547-1107
Fax
(856) 547-1130
NPI assigned
Dec 23, 2006
Last updated
Feb 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 37PC00282100 NJ
Mental Health Counselor 101YM0800X PC002352 PA
Professional Counselor 101YP2500X
Addiction (Substance Use Disorder) Counselor 101YA0400X 37LC00070300 NJ Primary

Addresses

Primary practice location

630 Clements Bridge Rd
Barrington, NJ 08007-1814

Mailing address

630 Clements Bridge Rd
Barrington, NJ 08007-1814
Phone (856) 547-1107

Other identifiers 2

IdentifierTypeStateIssuer
534834000OtherNJMAGELLAN ID
2105655000OtherNJBLUE CROSS BLUE SHIELD ID

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
37LC00070300NJMDAddiction (Substance Use Disorder) Counselor
37PC00282100NJMDMental Health Counselor
PC002352PAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Back to Life Recovery, LLC Addiction (Substance Use Disorder) Current Accepting new patients

Locations

630 Clements Bridge Rd
Barrington, NJ 08007
Phone (856) 547-1107

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": "1166832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677542400000",
    "number": "1669537320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 CLEMENTS BRIDGE RD",
            "city": "BARRINGTON",
            "state": "NJ",
            "postal_code": "080071814",
            "telephone_number": "856-547-1107",
            "fax_number": "856-547-1130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 CLEMENTS BRIDGE RD",
            "city": "BARRINGTON",
            "state": "NJ",
            "postal_code": "080071814",
            "telephone_number": "856-547-1107",
            "fax_number": "856-547-1130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'LEARY",
        "first_name": "LORI",
        "name_prefix": "Ms.",
        "credential": "MA, LPC, LCADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-23",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37PC00282100",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC002352",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00070300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN ID",
            "identifier": "534834000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD ID",
            "identifier": "2105655000",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Barrington, NJ

Sources for this page

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