Individual provider Active NPI

Lorraine Smith

  • Mental Health Counselor
  • Mount Holly, NJ
National Provider Identifier
1780080374
Registry record updated Mar 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
158 Ashurst LN # a
Mount Holly, NJ 08060-1237
Phone
(160) 772-0039
NPI assigned
Nov 10, 2014
Reactivated
Feb 24, 2021
Last updated
Mar 15, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 37PC00742400 NJ
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

158 Ashurst LN # a
Mount Holly, NJ 08060-1237

Mailing address

158 Ashurst LN # a
Mount Holly, NJ 08060-1237
Phone (160) 772-0039

Other practice location 1

770 Woodlane Rd
Westampton, NJ 08060-3804
Phone (609) 267-5928

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37PC00742400NJMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Solutions for U Current Accepting new patients
Teladoc Health Medical Group, P.a. Mental Health Current Accepting new patients
Solutions for U Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: lorrainesmith@tdh.allscriptsdirect.net

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, 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": "1415577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615766400000",
    "number": "1780080374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 ASHURST LN # A",
            "city": "MOUNT HOLLY",
            "state": "NJ",
            "postal_code": "080601237",
            "telephone_number": "160-772-0039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 ASHURST LN # A",
            "city": "MOUNT HOLLY",
            "state": "NJ",
            "postal_code": "080601237",
            "telephone_number": "160-772-0039"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "770 Woodlane Rd",
            "address_purpose": "LOCATION",
            "city": "Westampton",
            "state": "NJ",
            "postal_code": "080603804",
            "country_code": "US",
            "telephone_number": "609-267-5928",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LORRAINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-10",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "deactivation_date": "2018-11-12",
        "reactivation_date": "2021-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00742400",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Holly, NJ

Sources for this page

Verify at the official NPI Registry.