Lori Lynn Kolb, MT-BC, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

PC009186 Issued in PA

Practice address

2847 Eagle Nest LN
Nazareth, PA 18064-1461

Phone

(610) 597-0491

NPI assigned

Sep 24, 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 names 1

• Lori Lynn De Rea Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1569283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569283200000",
    "number": "1992356745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2847 EAGLE NEST LN",
            "city": "NAZARETH",
            "state": "PA",
            "postal_code": "180641461",
            "telephone_number": "610-597-0491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2847 EAGLE NEST LN",
            "city": "NAZARETH",
            "state": "PA",
            "postal_code": "180641461",
            "telephone_number": "610-597-0491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLB",
        "first_name": "LORI",
        "middle_name": "LYNN",
        "credential": "MT-BC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-24",
        "last_updated": "2019-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC009186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORI",
            "last_name": "DE REA",
            "middle_name": "LYNN",
            "credential": "MT-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Mental Health Counselor in Nazareth, PA
• Providers in Nazareth, PA by specialty
• Mental Health Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2019; 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.