LORI NICOLE COBURN LMFT
NPI 1093206930
Marriage & Family Therapist in Folsom, CA

Q: What is Lori Coburn's NPI number?

The NPI number for Lori Coburn is 1093206930. It was assigned to this individual provider in the NPPES registry on May 26, 2018.

Q: What is Lori Coburn's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: Is Lori Coburn enrolled in Medicare?

No. Lori Coburn has opted out of Medicare through April 9, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Lori Coburn was last updated on May 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 26, 2018Opted out of Medicare · through Apr 9, 2028

1665 CREEKSIDE DR STE 106, FOLSOM, CA 95630(916) 365-2381 Get Directions Write a Review

NPPES record last updated: May 26, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Lori Nicole Coburn Lmft NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LORI NICOLE COBURN LMFT (NPI 1093206930) is an individual marriage & family therapist in Folsom, California, licensed in California (PENDING) and active in the NPI registry since May 2018. She has opted out of Medicare through April 9, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1093206930

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameLORI NICOLE COBURNCredential: LMFT

Location Address1665 CREEKSIDE DR STE 106Folsom, CA 95630-3538

Mailing Address685 Slayback CtFolsom, CA 95630-6300 · (916) 365-2381

Phone(916) 365-2381

Sole ProprietorYes

Enumeration DateMay 26, 2018

✔ NPI 1093206930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · PENDING

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

1665 CREEKSIDE DR STE 106, Folsom, CA 95630

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Lori Nicole Coburn Lmft has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 9, 2024 through April 9, 2028.

Opt-Out Effective DateApril 9, 2024

Opt-Out In Effect ThroughApril 9, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNIFER HAGAR LMFT

Marriage & Family Therapist