Loretta Kay Pickford, LPC, NCC
Counselor, Professional in Lake City, MI. Individual provider (NPI-1).
NPI number1376973065
StatusActive
Last updated in NPPESSep 26, 2023
Details
- NPI
- 1376973065
- Entity type
- Individual (NPI-1)
- Name
- Loretta Kay Pickford
- Credential
- LPC, NCC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 18, 2013
- Certification date
- Jun 1, 2022
- Last updated
- Sep 26, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - MENTAL HEALTH COUNSELOR
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 6401013887 | MI | Yes |
Practice location
4101 W Forest RdLake City, MI 49651-9710
Phone 231-434-8587
Mailing address
4101 W Forest RdLake City, MI 49651-9710
Phone 231-434-8587 · Fax 844-206-0063
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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