Carrie Ellen Lofstrom, LPC, CPCS

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC008781 Issued in GA

Practice address

513 Gloucester St.
Brunswick, GA 31520

Phone

(912) 289-2497

Fax

(912) 289-9389

NPI assigned

Jan 6, 2017

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Radiant Counseling, LLC

  • Mental Health Counselor
  • Brunswick, GA
  • NPI 1043722705
  NPD

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

{
    "created_epoch": "1483660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1689110249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 GLOUCESTER ST.",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "31520",
            "telephone_number": "678-595-4723",
            "fax_number": "912-289-9389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 GLOUCESTER ST.",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "31520",
            "telephone_number": "912-289-2497",
            "fax_number": "912-289-9389"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "321 Commercial Dr",
            "address_2": "Ste 2",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314063662",
            "country_code": "US",
            "telephone_number": "912-777-4023",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "321 Commercial Dr",
            "address_2": "Ste 2",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314063662",
            "country_code": "US",
            "telephone_number": "912-777-4023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOFSTROM",
        "first_name": "CARRIE",
        "middle_name": "ELLEN",
        "name_prefix": "Ms.",
        "credential": "LPC, CPCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-06",
        "last_updated": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC008781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cristita Pahang Lim, M.D.
• Irene Limon, LICENSED PRACTICAL N
• Eric T. Linert, AU.D.
• Nancy Linkenhoker, RN
• Live-Well Centers of America
• John L Lokey, PA
• Lonnie G. Katro D.C.,P.C. Dba Brunswick Chiropractic and Massage
• Maria Lopez, RN
• Juanita Yvonne Lott, MD
• Courtney Lucas

• Professional Counselor in Brunswick, GA
• Providers in Brunswick, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; 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.