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Lori Lara , MA, LPC

Counselor - Professional โ€ข Abilene, TX

Active NPI 1598113581 Individual Practitioner Female Practitioner
Practice location in NPPES

1969 Industrial Blvd # 252
Abilene, TX 796027833

Call 3252010587 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1969 Industrial Blvd # 252

Abilene, TX 796027833

Telephone 3252010587
Fax 3252195599

Medicare patients

40 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $48,413 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $36,730 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

NPI first issued

2016

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Lori Lara has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Lori Lara as eligible to order or refer Medicare Part B clinical laboratory and imaging services and durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Abilene and Texas

Billing and prescribing volume is not a quality rating.

Medicare Part B services

More Medicare Part B services than 85% of clinicians listed under Counselor - Professional in Texas (2024, 117 clinicians with data). Median for this group: 162. Middle half: 82 to 383.

Too few clinicians listed under Counselor - Professional in Abilene have Medicare Part B data for 2024 to compare.

Medicare-allowed amount

A higher Medicare-allowed amount than 85% of clinicians listed under Counselor - Professional in Texas (2024, 117 clinicians with data). Median for this group: $14,261. Middle half: $6,598 to $30,826.

Too few clinicians listed under Counselor - Professional in Abilene have Medicare Part B data for 2024 to compare.

Paid by Medicare

A higher Medicare payment amount than 85% of clinicians listed under Counselor - Professional in Texas (2024, 117 clinicians with data). Median for this group: $11,362. Middle half: $5,257 to $24,437.

Too few clinicians listed under Counselor - Professional in Abilene have Medicare Part B data for 2024 to compare.

162 active clinicians are listed under Counselor - Professional with a practice address in Abilene, TX (20,742 in Texas).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Abilene

3.1% of these 162 clinicians have the CMS telehealth indicator.

22.2% of these 162 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
90832 Psychotherapy, 30 minutes
445 35 $110.00 $56.85
90834 Psychotherapy, 45 minutes
169 22 $140.00 $74.96
90837 Psychotherapy, 1 hour
71 14 $200.00 $110.29
90791 Psychiatric diagnostic evaluation
21 21 $240.00 $124.59

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-11-22
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES TX 70208
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Texas Medical Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - MENTAL HEALTH COUNSELOR

Medicare Enrollment ID

I20231204003424

Enrollment State Jurisdiction

TX

PECOS Control ID

2769830595

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
๐Ÿ“
Updated Practice Location November 22, 2021

Registered at 1969 INDUSTRIAL BLVD # 252, ABILENE, TX 796027833 (Tel: 3252010587)

๐Ÿ“
Updated Business Mailing Address November 22, 2021

Registered at 5217 HUNTERS CIR, ABILENE, TX 796064207 (Tel: 3252010587)

๐Ÿ“
Updated Practice Location September 12, 2018

Registered at 318 CEDAR ST, ABILENE, TX 796015722 (Tel: 3256727055)

๐Ÿ“
Updated Business Mailing Address September 12, 2018

Registered at 318 CEDAR ST, ABILENE, TX 796015722 (Tel: 3256727055)

๐Ÿ‘ค
Provider Name / Credentials Updated September 12, 2018

Recorded as LORI LARA, M.A., LPC

โœ…
NPI Profile Active May 31, 2016

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) May 31, 2016

Registered at 100 CHESTNUT ST STE 101, ABILENE, TX 796021440 (Tel: 3256768963)

๐Ÿ“
Business Mailing Address (Initial Record) May 31, 2016

Registered at 100 CHESTNUT ST STE 101, ABILENE, TX 796021440 (Tel: 3256768963)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) May 31, 2016

Recorded as LORI WILLCOCKSON, M.A., LPC

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 31, 2016

Counselor (license number reported to NPPES: TX 70208)

๐ŸŸข
Initial NPI Registration & Enumeration May 31, 2016

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1598113581
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 31, 2016
Last Update: November 22, 2021
Sole Proprietor: Yes

Other Counselor - Professionals in Abilene

Healthcare providers in Abilene

Mailing Address

5217 Hunters Cir

Abilene, TX 796064207

Phone: 3252010587

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.