Individual provider Active NPI

Lorri O. Jacot, LAC

  • Mental Health Counselor
  • Danville, AR
National Provider Identifier
1760864680
Registry record updated Jun 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A1505066 Issued in AR
Practice address
730 Boston St
Danville, AR 72833
Phone
(479) 495-5177
Fax
(479) 495-5187
NPI assigned
Jun 27, 2015
Last updated
Jun 27, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X A1505066 AR Primary

Addresses

Primary practice location

730 Boston St
Danville, AR 72833

Mailing address

PO Box 679
Morrilton, AR 72110-0679
Phone (501) 354-4589

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20250113003110 AR Practitioner - Mental Health Counselor 5597293985 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Real Development CorporationGroup PAC ID 1153751334, 9 clinicians

Practice addresses (Care Compare)

105 E 10TH St
Danville, AR 72833
Phone 47949528509769

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A1505066ARMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Real Development Corporation CurrentSince Jan 7, 2025 Accepting new patients
Conway County Community Service Inc. Past Accepting new patients

Locations

1310 W Main St
Ste 101
Russellville, AR 72801
Phone (479) 964-2011

1310 W Main St
Ste 201
Russellville, AR 72801
Phone (479) 968-2001

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1435363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435363200000",
    "number": "1760864680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 679",
            "city": "MORRILTON",
            "state": "AR",
            "postal_code": "721100679",
            "telephone_number": "501-354-4589",
            "fax_number": "501-354-5410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 BOSTON ST",
            "city": "DANVILLE",
            "state": "AR",
            "postal_code": "72833",
            "telephone_number": "479-495-5177",
            "fax_number": "479-495-5187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOT",
        "first_name": "LORRI",
        "middle_name": "O.",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-27",
        "last_updated": "2015-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "A1505066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, AR

Sources for this page

Verify at the official NPI Registry.