Lori Lynn McGruder, NCC, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH8492 Issued in FL

Practice address

1607 NW 120TH Way
Gainesville, FL 32606-5273

Phone

(352) 316-5620

NPI assigned

Dec 8, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

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

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.

• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567

  Mental Health

  NPD

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

{
    "created_epoch": "1575763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575763200000",
    "number": "1861039968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1607 NW 120TH WAY",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326065273",
            "telephone_number": "352-316-5620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1607 NW 120TH WAY",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326065273",
            "telephone_number": "352-316-5620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGRUDER",
        "first_name": "LORI",
        "middle_name": "LYNN",
        "credential": "NCC, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-08",
        "last_updated": "2019-12-08",
        "certification_date": "2019-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH8492",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF HEALTH",
            "identifier": "MH8492",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brooksie Lashaun McGraw
• Diyonne L McGraw
• Keyerra T McGregory
• Khalilah Tashe McGregory
• Reginald G McGrew
• Marianne L. D. McGuigan, PH.D.
• Anna Michelle McGuinness, MS, RD, LD
• Lyra Lyons McGuire Surrency, ARNP
• Antonio Martrell McGuire, MD
• Kristen McGuire

• Mental Health Counselor in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.