Provider Demographics
NPI:1033274634
Name:HERSHBERGER, LORIE RINGENBERG (LPC)
Entity Type:Individual
Prefix:
First Name:LORIE
Middle Name:RINGENBERG
Last Name:HERSHBERGER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:124 ARROWHEAD DR
Mailing Address - Street 2:
Mailing Address - City:COLDWATER
Mailing Address - State:MI
Mailing Address - Zip Code:49036-1283
Mailing Address - Country:US
Mailing Address - Phone:517-227-9030
Mailing Address - Fax:517-278-3035
Practice Address - Street 1:364 MARSHALL ST
Practice Address - Street 2:
Practice Address - City:COLDWATER
Practice Address - State:MI
Practice Address - Zip Code:49036-1140
Practice Address - Country:US
Practice Address - Phone:517-227-9030
Practice Address - Fax:517-278-3035
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-26
Last Update Date:2016-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2141-0906101YA0400X
TX20001101YP2500X
VA0701003180101YP2500X
TX733532163W00000X
PARN242519L163W00000X
VA0001137449163W00000X
IN28078450A163W00000X
MI6401014889101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA2100107OtherMAMSI
TX7415LCOtherBC & BS OF TEXAS
VA084928OtherSENTARA
VA2223916OtherCIGNA
VA265448000OtherMAGELLEN
VA215219OtherCOMPSYCH
VA384122OtherTRIGON
VA470499OtherVALUOPTIONS
VA5412803Medicaid