| Lori G Kloss, | |
|
2225 Pacific Blvd Se, Albany, OR 97321-7907 | |
| (541) 321-2278 | |
| (541) 249-8826 |
| Full Name | Lori G Kloss |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 2225 Pacific Blvd Se, Albany, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871146316 | NPI | - | NPPES |
| 500771153 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | C7299 (Oregon) | Secondary |
| 101YP2500X | Counselor - Professional | C7299 (Oregon) | Primary |
| Entity Name | Tabula Rasa Wellness Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205300837 PECOS PAC ID: 0941676662 Enrollment ID: O20221021000547 |
| Entity Name | Aronoff Counseling Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770966269 PECOS PAC ID: 7618322231 Enrollment ID: O20240207002086 |
| Mailing Address | Practice Location Address |
|---|---|
| Lori G Kloss, 4585 Sw 185th Ave, Aloha, OR 97078-1557 Ph: () - | Lori G Kloss, 2225 Pacific Blvd Se, Albany, OR 97321-7907 Ph: (541) 321-2278 |
Barrylee Coyne, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 425 2nd Ave Sw Ste 102, Albany, OR 97321 Phone: 541-286-3209 Fax: 541-704-0040 | |
Amanda Joseph, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1856 Grand Prairie Rd Se, Albany, OR 97322 Phone: 541-393-0777 | |
Mandy Jones, Counselor Medicare: Not Enrolled in Medicare Practice Location: 777 College Park Dr Sw Unit 58, Albany, OR 97322 Phone: 541-619-8088 | |
Cary D Moller, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 445 3rd Ave Sw, Albany, OR 97321 Phone: 541-924-6916 Fax: 541-926-6271 | |
Victoria Royal, QMHA-R Counselor Medicare: Not Enrolled in Medicare Practice Location: 433 3rd Ave Se, Albany, OR 97321 Phone: 541-791-7193 Fax: 833-770-4969 | |
Bobbi Hague, CADC-II Counselor Medicare: Not Enrolled in Medicare Practice Location: 213 Water Ave Nw, Albany, OR 97321 Phone: 541-371-2080 Fax: 541-928-6713 | |
Rebecca Wigton, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 110 Hickory St Nw, Albany, OR 97321 Phone: 541-760-2197 |