Active NPI
Loriann Sykes Stretch, LPC, LCMHC-S
- Mental Health Counselor
- Williamsburg, VA
National Provider Identifier
1720028996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 0701010280
- Practice address
- 4601 Noland Blvd
Williamsburg, VA 23188-7587 - Phone
- (312) 619-1359
- Fax
- (919) 359-9071
- NPI assigned
- Jun 7, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 4381 | NC | |
| Mental Health Counselor | 101YM0800X | S4381 | NC | |
| Mental Health Counselor | 101YM0800X | 0701010280 | VA | Primary |
Addresses
Primary practice location
4601 Noland Blvd
Williamsburg, VA 23188-7587
Mailing address
4601 Noland Blvd
Williamsburg, VA 23188-7587
Phone (312) 619-1359
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6102456 | Medicaid | NC | |
| 203330426 | Other | NC | AETNA |
| 203330426 | Other | NC | UNITED HEALTH CARE |
| 134VU | Other | NC | BLUE CROSS BLUE SHIELD |
| 203330426 | Other | NC | MEDCOST |
| 203330426 | Other | NC | TRICARE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| S4381 | NC | MD | Mental Health Counselor |
| 0701010280 | VA | MD | Mental Health Counselor |
| 4381 | NC | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655337600000",
"number": "1720028996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4601 NOLAND BLVD",
"city": "WILLIAMSBURG",
"state": "VA",
"postal_code": "231887587",
"telephone_number": "312-619-1359",
"fax_number": "919-359-9071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4601 NOLAND BLVD",
"city": "WILLIAMSBURG",
"state": "VA",
"postal_code": "231887587",
"telephone_number": "312-619-1359",
"fax_number": "919-359-9071"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STRETCH",
"first_name": "LORIANN",
"middle_name": "SYKES",
"name_prefix": "Dr.",
"credential": "LPC, LCMHC-S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-07",
"last_updated": "2022-06-16",
"certification_date": "2022-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "4381",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "S4381",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "VA",
"license": "0701010280",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6102456",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "203330426",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "203330426",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "134VU",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST",
"identifier": "203330426",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "203330426",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Williamsburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.