Individual provider Active NPI

Lori A Touchstone, LMHC

  • Counselor
  • Fort Myers, FL
National Provider Identifier
1912168972
Registry record updated Jul 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
MH9463 Issued in FL
Practice address
3820 Colonial Blvd Ste 200
Fort Myers, FL 33966-1094
Phone
(239) 208-9449
NPI assigned
Jun 23, 2008
Last updated
Jul 9, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 9463 FL
Case Manager/Care Coordinator 171M00000X MH9463 FL
Counselor 101Y00000X MH9463 FL Primary

Addresses

Primary practice location

3820 Colonial Blvd Ste 200
Fort Myers, FL 33966-1094

Mailing address

15528 Crystal Lake Dr
North Fort Myers, FL 33917-5660
Phone (239) 223-8380

Other identifiers 2

IdentifierTypeStateIssuer
000218700MedicaidFL
000940400MedicaidFL

Other names 1

  • Lori A Iacobbo Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ltouchstone@chrysalishealth.com

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
MH9463FLMDCase Manager/Care Coordinator
9463FLMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1214179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594252800000",
    "number": "1912168972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15528 CRYSTAL LAKE DR",
            "city": "NORTH FORT MYERS",
            "state": "FL",
            "postal_code": "339175660",
            "telephone_number": "239-223-8380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3820 COLONIAL BLVD STE 200",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339661094",
            "telephone_number": "239-208-9449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOUCHSTONE",
        "first_name": "LORI",
        "middle_name": "A",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-23",
        "last_updated": "2020-07-09",
        "certification_date": "2020-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "9463",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "FL",
            "license": "MH9463",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "FL",
            "license": "MH9463",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000218700",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000940400",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ltouchstone@chrysalishealth.com",
            "affiliation": "N",
            "address_1": "3820 Colonial Blvd Ste 200",
            "city": "Fort Myers",
            "state": "FL",
            "country_code": "US",
            "postal_code": "339661094",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LORI",
            "last_name": "IACOBBO",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2020; 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.