Lori L Downs , LPC
Counselor - Professional • Houston, TX
4635 Southwest Fwy Ste 635
Houston, TX 770277112
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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Lori Downs is listed in NPPES under Counselor - Professional.
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NPI assigned on August 25, 2017; this date does not establish years in practice.
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Published CMS data list 432 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 90837 — Psychotherapy: 311 service units.
- 90834 — Psychotherapy: 105 service units.
- 90832 — Psychotherapy: 16 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See the full table · Guide: How to read Medicare Part B data
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More Medicare Part B services than 75% of clinicians listed under Counselor - Professional in Texas (2024, 117 clinicians with data). Median for this group: 162. Middle half: 82 to 383.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
Practice Location & Contact Primary Location
4635 Southwest Fwy Ste 635
Houston, TX 770277112
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
What Public CMS Data Show
Counselor - Professional: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
42 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.
Medicare-allowed amount
About $43,246 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.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
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 – by Provider and Service, 2024.
Paid by Medicare
About $34,457 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
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 – by Provider and Service, 2024.
NPI first issued
2017
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, “Does your provider accept Medicare as full payment?”
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.
Enrolled in Medicare (PECOS)
Lori Downs 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.
Can order Medicare-covered services
CMS lists Lori Downs as eligible to order or refer Medicare Part B clinical laboratory and imaging services and durable medical equipment (DME) for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
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.
Compared with the same specialty in Houston and Texas
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 75% 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 Houston have Medicare Part B data for 2024 to compare.
Medicare-allowed amount
A higher Medicare-allowed amount than 80% 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 Houston have Medicare Part B data for 2024 to compare.
Paid by Medicare
A higher Medicare payment amount than 80% 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 Houston have Medicare Part B data for 2024 to compare.
2,170 active clinicians are listed under Counselor - Professional with a practice address in Houston, TX (20,742 in Texas).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Houston
1.9% of these 2,170 clinicians have the CMS telehealth indicator.
8.2% of these 2,170 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
CMS data for Medicare Part B services are available for 2024 only.
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Medicare-allowed amount
CMS data for Medicare-allowed amount are available for 2024 only.
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Paid by Medicare
CMS data for Medicare payment amount are available for 2024 only.
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 · Report an error.
Performed Procedures & Service Volume
CPT® 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 – 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 |
|---|---|---|---|---|
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90837
Psychotherapy, 1 hour
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311 | 38 | $389.00 | $110.76 |
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90834
Psychotherapy, 45 minutes
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105 | 31 | $267.00 | $75.13 |
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90832
Psychotherapy, 30 minutes
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16 | 15 | $195.00 | $56.94 |
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: 2024-04-03NUCC Taxonomy Code: 101YP2500X
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - MENTAL HEALTH COUNSELOR
I20240417001345
TX
9032558556
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Nurse Practitioner - Psychiatric/Mental Health
Psychiatric-Mental Health Nurse Practitioner
Social Worker - Clinical
Licensed Clinical Social Worker, Doctor of Philosophy (Ph.D.)
Psychologist - Clinical
Doctor of Philosophy (Ph.D.)
Nurse Practitioner - Psychiatric/Mental Health
Nurse Practitioner - Psychiatric/Mental Health
Nurse Practitioner
Physician Assistant
Physician Assistant (Certified)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 4635 SOUTHWEST FWY STE 635, HOUSTON, TX 770277112 (Tel: 7138500049)
Recorded as LORI DOWNS, LPC
NPI status registered as active in NPPES database
Registered at 850 FM 574 W, GOLDTHWAITE, TX 768443379 (Tel: 3259385518)
Registered at PO BOX 549, GOLDTHWAITE, TX 768440549 (Tel: 3259385518)
Recorded as LORI JOYNER, LPC
Counselor (license number reported to NPPES: TX 74410)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Counselor - Professionals in Houston
- Molly Harris, LPC
- Manuel Davis, MS, LPC
- Esther Alasa, LPC
- Chigozie Obichuku, LPC
- Carole Espinosa, LPC
- Victoria Theobalds
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Directory navigation, in NPI number order.
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Mailing Address
Po Box 549
Goldthwaite, TX 768440549
Phone: 3259385518