Individual provider Active NPI

Lori L Hoffeditz, PH.D.

  • Mental Health Counselor
  • Fishers, IN
National Provider Identifier
1730444670
Registry record updated Jul 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
39002367A Issued in IN
Practice address
10412 Allisonville Rd
Suite 105
Fishers, IN 46038-2052
Phone
(317) 578-9200
NPI assigned
Jul 6, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 39002367A IN Primary
Mental Health Counselor 101YM0800X E0004092 OH

Addresses

Primary practice location

10412 Allisonville Rd
Suite 105
Fishers, IN 46038-2052

Mailing address

10412 Allisonville Rd
Suite 105
Fishers, IN 46038-2052
Phone (317) 578-9200

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
39002367AINMDMental Health Counselor
E0004092OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Center at the Crossing, Inc. Mental Health Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1341532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341532800000",
    "number": "1730444670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10412 ALLISONVILLE RD",
            "address_2": "SUITE 105",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460382052",
            "telephone_number": "317-578-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10412 ALLISONVILLE RD",
            "address_2": "SUITE 105",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460382052",
            "telephone_number": "317-578-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFFEDITZ",
        "first_name": "LORI",
        "middle_name": "L",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-06",
        "last_updated": "2012-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39002367A",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E0004092",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishers, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2012; 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.