LORI LODGE (NPI# 1508008871) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508008871 |
| Entity Type | Individual |
| Full Name | LORI LODGE |
| Credential | LCPC LMFT |
| Practice Address |
2971 E Copper Point Dr Suite 100 Meridian ID 83642-5101 |
| Practice Telephone | 2083765683 |
| Practice Fax Number | 2083765690 |
| Mailing Telephone | 2083765683 |
| Mailing Fax Number | 2083765690 |
| Enumeration Date | 2009-04-01 |
| Last Update Date | 2009-04-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
2907 | ID | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | 2929 | ID | Behavioral Health & Social Service Providers |
| Street Address |
2971 E COPPER POINT DR SUITE 100 |
| City | MERIDIAN |
| State | ID |
| Zip Code | 83642-5101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861449084 | Mary C Hafer | Obstetrics & Gynecology | 2971 E Copper Point Dr, Ste # 125, Meridian, ID 83642-5101 | 2006-05-31 |
| 1417598236 | Michelle Sichak | Counselor | 2971 E Copper Point Dr, Meridian, ID 83642-5101 | 2019-10-02 |
| 1457789513 | Kathryn Metzger | Counselor | 2971 E Copper Point Dr, Suite 100, Meridian, ID 83642-5101 | 2013-10-28 |
| 1629317474 | Julie Myers, Lcpc, LLC | Counselor | 2971 E Copper Point Dr, Suite 100, Meridian, ID 83642-5101 | 2013-02-13 |
| 1487991865 | Michele Conant | Counselor | 2971 E Copper Point Dr, Suite#100, Meridian, ID 83642-5101 | 2013-01-06 |
| 1588908313 | Philip D. Stoffle | Counselor | 2971 E Copper Point Dr, Suite 100, Meridian, ID 83642-5101 | 2012-11-16 |
| 1154610731 | Mary Hafer, Md | Physician Assistant | 2971 E Copper Point Dr, Suite # 125, Meridian, ID 83642-5101 | 2011-04-04 |
| 1568539971 | Wendy I Coffman | Counselor | 2971 E Copper Point Dr, Meridian, ID 83642-5101 | 2006-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174145684 | Ikdo South Meridian LLC | Dentist | 3839 E Amity Rd, Meridian, ID 83642 | 2020-05-07 |
| 1073133328 | Prescription Pad LLC | Pharmacy | 885 S Vanguard Way, Meridian, ID 83642 | 2020-04-16 |
| 1609412683 | Meridian Advanced Psychiatry, LLC | Psychiatry & Neurology | 1672 S Woodsage Ave., Meridan, ID 83642 | 2019-11-25 |
| 1194378927 | Sergey Tsema | Occupational Therapist | 1259 E Pisa St, Meridian, ID 83642 | 2019-07-21 |
| 1003478629 | Chris R Jackson | Dentist | Isu Family Dentistry, 1311 E Central Dr, Meridian, ID 83642 | 2019-07-03 |
| 1285293118 | Morgan Family Medicine | Nurse Practitioner | 1660 S Woodsage Avenue, Meridian, ID 83642 | 2019-06-13 |
| 1033772793 | Nugen Healthcare, Pllc | Registered Nurse | 2177 S Spoonbill Ave, Meridian, ID 83642 | 2019-04-18 |
| 1811471790 | Courtney Crossland | Physician Assistant | 4949 S Hillsdale Ave., Meridian, ID 83642 | 2018-09-18 |
| 1841771938 | Katelyn Perry | Counselor | 2068 S. Eagle Rd., Meridian, ID 83642 | 2018-08-27 |
| 1114406204 | Gem Prep: Meridian LLC | Case Management | 2750 E.gala Ct., Meridian, ID 83642 | 2018-08-09 |
| Find all providers in zip 83642 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881208056 | Cameron Cushing | Counselor | 3293 E Plympton Dr, Meridian, ID 83642-9019 | 2020-09-03 |
| 1982260329 | Maxwell Aristaeus Dusky | Counselor | 3017 S Meridian Rd, Meridian, ID 83642-7962 | 2019-05-10 |
| 1376915298 | Donna Eldridge | Counselor | 3507 Causeyville Rd, Meridian, MS 39301-9174 | 2015-10-30 |
| 1245601616 | Lindsay Kyle | Counselor | 1316 Ridgeview Cir, Meridian, MS 39305-2743 | 2015-10-12 |
| 1952790297 | Wendy Fisher | Counselor | 744 W Kingsley St, Meridian, ID 83646-6222 | 2015-01-09 |
| 1326443938 | Ophelia Mayfield | Counselor | 1923 23rd Ave., Meridian, MS 39301 | 2014-10-24 |
| 1114355757 | Gail Ingra Peterson | Counselor | 3043 S Meridian Rd, Suite 125, Meridian, ID 83642-7922 | 2013-10-16 |
| 1558795773 | Jami Clevenger | Counselor | 943 W Overland Rd Ste 157, Meridian, ID 83642-6541 | 2013-08-23 |
| 1871927152 | Michele Ann Gallegos | Counselor | 2704 N Caribou Way, Meridian, ID 83646-3475 | 2013-08-22 |
| 1184965741 | Juakita L. Grice | Counselor | 1415 35th Ave, Meridian, MS 39301-3628 | 2013-03-07 |
| Find all providers in MERIDIAN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.