Lana Ann Dreyfuss, LPCC LCADC LPC HTR
Individual provider Active NPI Counseling Psychologist · Smith River, CA
NPI 1679914428 · NPPES record last updated Jul 19, 2023
Key facts
- NPI
- 1679914428
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counseling Psychologist 103TC1900X
- License
- LPCC11223 (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
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250109001263 | CA | Practitioner - Mental Health Counselor | 3375996903 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPCC11223 | CA | MD | Counseling Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Indian Health Services, Inc. | Current | Accepting new patients | |
| United Indian Health Services, Inc. | Current |
Accepting new patients | |
| United Indian Health Services, Inc. | Current |
Accepting new patients | |
| United Indian Health Services, Inc. | Current |
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | LCA1586 | MD | |
| Counseling Psychologist | 103TC1900X | PC008271 | PA | |
| Counseling Psychologist | 103TC1900X | LPCC11223 | CA | Yes |
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
Other providers in Smith River, CA
- Carolyn L Arellanes
- Rodney Martin Brim
- Sandra Alison Fachiol
- Chad Gagnon
- Wilmer Hechanova
- Branden Earl Hensel
- Michael Arnold Moss
All providers in Smith River, CA · Counseling Psychologist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 19, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.