Look up the most recent NPI and PECOS records

Lori Ann Fuentes

Counselor

Behavioral Health & Social Service Providers

PECOS Enrollment

Based on the most recent information from CMS, provider Lori Ann Fuentes does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1033304456
Provider Type
Individual
Full Name
Fuentes, Lori Ann
Title
Ms.
Credential
MSW

Gender
Female
Sole Proprietor
Yes
Enumeration Date
9/10/2007
Last Updated
8/7/2008

Contact Information

Practice Location

607 Lincolnway, Valparaiso, IN 46383

(219) 548-8727

(219) 465-7211

Mailing Location

607 Lincolnway, Valparaiso, IN 46383

(219) 548-8727

(219) 465-7211

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer

Provider Identifiers

ID	Description	Issuer
ID 200275200A	Description Medicaid	Issuer Unlisted Indiana

Lori Ann Fuentes

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Oiler-Negron, Morgan

Schiralli, Rocco

Mclaughlin, Ashley

Joseph, Reagan Carolyn

Peiffer, Melissa

Riege, Alyssa Marie

Zaremba, Samantha

Baker, Robert James

Patrick O'Connell, Llc

Wurster, Sarah Marie