Individual provider Active NPI

Lana Ann Dreyfuss, LPCC LCADC LPC HTR

  • Counseling Psychologist
  • Smith River, CA
National Provider Identifier
1679914428
Registry record updated Jul 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
LPCC11223 Issued in CA
Practice address
501 N Indian Rd
Smith River, CA 95567-9509
Phone
(707) 487-0215
Fax
(707) 487-3003
NPI assigned
Jul 9, 2013
Last updated
Jul 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X LCA1586 MD
Counseling Psychologist 103TC1900X PC008271 PA
Counseling Psychologist 103TC1900X LPCC11223 CA Primary

Addresses

Primary practice location

501 N Indian Rd
Smith River, CA 95567-9509

Mailing address

1600 Weeot Way
Arcata, CA 95521-4734
Phone (707) 825-5000

Other practice location 1

241 Salmon Ave
Klamath, CA 95548
Phone (707) 482-2181

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250109001263 CA Practitioner - Mental Health Counselor 3375996903 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPCC11223CAMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
United Indian Health Services, Inc. CurrentSince Jan 1, 2024 Accepting new patients
United Indian Health Services, Inc. Current Accepting new patients
United Indian Health Services, Inc. CurrentSince Jan 1, 2024 Accepting new patients
United Indian Health Services, Inc. CurrentSince Jan 1, 2024 Accepting new patients
United Indian Health Services, Inc. Past Accepting new patients

Locations

1600 Weeot Way
Arcata, CA 95521
Phone (707) 825-5000

1675 Northcrest Dr
Crescent City, CA 95531
Phone (707) 464-2750

501 N Indian Rd
Smith River, CA 95567
Phone (707) 487-0215

Organizations & group practices 5

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": "1373328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689724800000",
    "number": "1679914428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 WEEOT WAY",
            "city": "ARCATA",
            "state": "CA",
            "postal_code": "955214734",
            "telephone_number": "707-825-5000",
            "fax_number": "707-825-6747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N INDIAN RD",
            "city": "SMITH RIVER",
            "state": "CA",
            "postal_code": "955679509",
            "telephone_number": "707-487-0215",
            "fax_number": "707-487-3003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "241 Salmon Ave",
            "address_purpose": "LOCATION",
            "city": "Klamath",
            "state": "CA",
            "postal_code": "95548",
            "country_code": "US",
            "telephone_number": "707-482-2181",
            "fax_number": "707-825-6747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DREYFUSS",
        "first_name": "LANA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LPCC LCADC LPC HTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-09",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MD",
            "license": "LCA1586",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "PA",
            "license": "PC008271",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "CA",
            "license": "LPCC11223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smith River, CA

Sources for this page

Verify at the official NPI Registry.