Active NPI
Loriann Hetterle
- Professional Counselor
- Redlands, CA
National Provider Identifier
1972913598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 3809
- Practice address
- 18 E State St Ste 206
Redlands, CA 92373-4773 - Phone
- (303) 507-0925
- NPI assigned
- May 5, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC.0011927 | CO | |
| Professional Counselor | 101YP2500X | 3809 | CA | Primary |
Addresses
Primary practice location
18 E State St Ste 206
Redlands, CA 92373-4773
Mailing address
25745 Barton Rd # 351
Loma Linda, CA 92354-3812
Phone (909) 681-1750
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
| License | State | Type | Specialty |
|---|---|---|---|
| LPC.0011927 | CO | MD | Professional Counselor |
| 3809 | CA | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585526400000",
"number": "1972913598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25745 BARTON RD # 351",
"city": "LOMA LINDA",
"state": "CA",
"postal_code": "923543812",
"telephone_number": "909-681-1750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 E STATE ST STE 206",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923734773",
"telephone_number": "303-507-0925"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HETTERLE",
"first_name": "LORIANN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-05-05",
"last_updated": "2020-03-30",
"certification_date": "2020-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "LPC.0011927",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "3809",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Redlands, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.