Individual provider Active NPI

Lark Lovejoy, M.S.

  • Professional Counselor
  • Ashland, OR
National Provider Identifier
1720400104
Registry record updated Jan 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C3649 Issued in OR
Practice address
745 Park St
Ashland, OR 97520-2503
Phone
(541) 708-2024
Fax
(844) 755-6401
NPI assigned
Jan 20, 2014
Last updated
Jan 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X C3649 OR Primary

Addresses

Primary practice location

745 Park St
Ashland, OR 97520-2503

Mailing address

745 Park St
Ashland, OR 97520-2503
Phone (541) 708-2024

Other names 1

  • Lark Mobley Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20250213003616 OR Practitioner - Mental Health Counselor 0840720298 Practice locations: Ashland, OR

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

745 Park St
Ashland, OR 97520-2503
Phone (541) 708-2024

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1390176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737676800000",
    "number": "1720400104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 PARK ST",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975202503",
            "telephone_number": "541-708-2024",
            "fax_number": "844-755-6401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 PARK ST",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975202503",
            "telephone_number": "541-708-2024",
            "fax_number": "844-755-6401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVEJOY",
        "first_name": "LARK",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-20",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C3649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LARK",
            "last_name": "MOBLEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ashland, OR

Sources for this page

Verify at the official NPI Registry.