Individual provider Active NPI

Tressi Innana Loria, MA

  • Mental Health Counselor
  • Grants Pass, OR
National Provider Identifier
1972920668
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C4144 Issued in OR
Practice address
121 NE a St Ste a
Grants Pass, OR 97526-2111
Phone
(541) 415-0436
Fax
(541) 507-9123
NPI assigned
Mar 20, 2014
Last updated
Nov 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Mental Health Counselor 101YM0800X C4144 OR Primary

Addresses

Primary practice location

121 NE a St Ste a
Grants Pass, OR 97526-2111

Mailing address

PO Box 445
Williams, OR 97544-0445
Phone (541) 415-0436

Other practice location 1

2524 Kincaid Rd
Williams, OR 97544-9728
Phone (541) 415-0436

Other identifiers 1

IdentifierTypeStateIssuer
500716345MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241219001515 OR Practitioner - Mental Health Counselor 9133653991 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

121 NE a St
Suite Aande
Grants Pass, OR 97526-2111
Phone (541) 200-3823

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Lotus Seed Therapies Mental Health CurrentSince Sep 16, 2024 Accepting new patients

Locations

121 NE A St
#A
Grants Pass, OR 97526

121 NE A St
Ste A
Grants Pass, OR 97526
Phone (541) 415-0436

121 NE A St
Ste Ae
Grants Pass, OR 97526
Phone (541) 200-3823

Organizations & group practices 1

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": "1395273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762387200000",
    "number": "1972920668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 445",
            "city": "WILLIAMS",
            "state": "OR",
            "postal_code": "975440445",
            "telephone_number": "541-415-0436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 NE A ST STE A",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975262111",
            "telephone_number": "541-415-0436",
            "fax_number": "541-507-9123"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2524 Kincaid Rd",
            "address_purpose": "LOCATION",
            "city": "Williams",
            "state": "OR",
            "postal_code": "975449728",
            "country_code": "US",
            "telephone_number": "541-415-0436",
            "fax_number": "541-507-9123",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LORIA",
        "first_name": "TRESSI",
        "middle_name": "INNANA",
        "name_prefix": "Ms.",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-20",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C4144",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500716345",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grants Pass, OR

Sources for this page

Verify at the official NPI Registry.