Individual provider Active NPI

Lori Marie Kallio

  • Professional Counselor
  • Simpsonville, SC
National Provider Identifier
1770770901
Registry record updated Oct 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
4650 Issued in SC
Practice address
20 Powderhorn Rd
Simpsonville, SC 29681-3399
Phone
(864) 963-3421
NPI assigned
Oct 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2007

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 4650 SC Primary

Addresses

Primary practice location

20 Powderhorn Rd
Simpsonville, SC 29681-3399

Mailing address

20 Powderhorn Rd
Simpsonville, SC 29681-3399
Phone (864) 963-3421

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

LicenseStateTypeSpecialty
4650SCMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Peace From Pieces Professional CurrentSince Sep 8, 2025 Accepting new patients
South Carolina Dept of Mental Health Accounting Office Past Accepting new patients
South Carolina Dept of Mental Health Accounting Office PastSince Jul 17, 2002 Accepting new patients

Locations

300 John St
Ste 1B
Greer, SC 29651
Phone (864) 655-5007

Organizations & group practices 3

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": "1191283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191283200000",
    "number": "1770770901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 POWDERHORN RD",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296813399",
            "telephone_number": "864-963-3421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 POWDERHORN RD",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296813399",
            "telephone_number": "864-963-3421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALLIO",
        "first_name": "LORI",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-02",
        "last_updated": "2007-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "4650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simpsonville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2007; 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.