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LORA ISRAELSEN PHD
NPI 1841973930
Psychologist - Clinical in Logan, UT

Active since August 07, 2023Opted out of Medicare · through Dec 5, 2026
6405 OLD MAIN HILL, LOGAN, UT 84322(435) 797-4200(844) 308-5865 Get Directions Write a Review

NPPES record last updated: August 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lora Israelsen Phd NPPES

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

LORA ISRAELSEN PHD (NPI 1841973930) is an individual clinical provider in Logan, Utah, licensed in Utah (13456930-2501) and active in the NPI registry since August 2023. She has opted out of Medicare through December 5, 2026.

NPPES Registry Identity

NPI1841973930
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameLORA ISRAELSENCredential: PHD
Location Address6405 OLD MAIN HILLLogan, UT 84322-0001
Mailing Address6405 Old Main HillLogan, UT 84322-6405 · (435) 797-0576 · Fax (844) 308-5865
Phone(435) 797-4200
Fax(844) 308-5865
Sole ProprietorNo
Enumeration DateAugust 7, 2023
NPPES CertifiedAugust 7, 2023
✔ NPI 1841973930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in UT · 13456930-2501
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Also ListedPsychologist · Intellectual and Developmental DisabilitiesTaxonomy 103TM1800X · License 13456930-2501 (UT)
6405 OLD MAIN HILL, Logan, UT 84322
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Lora Israelsen Phd 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 December 5, 2024 through December 5, 2026.

Opt-Out Effective DateDecember 5, 2024
Opt-Out In Effect ThroughDecember 5, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

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

JAKOB THOMAS NEWLON
Counselor (Mental Health)
6405 OLD MAIN HILL
LOGAN, UT 84322
Cache County (801) 797-3405
MRS. DARIA GRIFFITH FUELL
Behavior Technician
6405 OLD MAIN HILL
LOGAN, UT 84322
Cache County (435) 797-3403
SHARON DENICE RIVERA
Counselor (Mental Health)
6405 OLD MAIN HILL
LOGAN, UT 84322
Cache County (435) 797-0290
DR. RICK ANTHONY CRUZ PH.D.
Psychologist (Clinical Child & Adolescent)
6405 OLD MAIN HILL
LOGAN, UT 84322
Cache County (435) 797-3401
RYAN B SEEDALL LMFT
Marriage & Family Therapist
6405 OLD MAIN HILL
LOGAN, UT 84322
Cache County (435) 797-7430
DR. WESLEY HILL M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
6405 OLD MAIN HILL
LOGAN, UT 84322
Cache County (435) 797-0576
JENNIE SWARTZ
Behavior Technician
6405 OLD MAIN HILL
LOGAN, UT 84322
Cache County (435) 797-4200
DANIEL JACOB WAGNER BCBA
Behavior Analyst
6405 OLD MAIN HILL
LOGAN, UT 84322
Cache County (435) 797-3403

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lora Israelsen's NPI number?

The NPI number for Lora Israelsen is 1841973930. It was assigned to this individual provider in the NPPES registry on August 7, 2023.

Where is Lora Israelsen located?

Lora Israelsen practices at 6405 Old Main Hill, Logan, UT 84322. The listed phone number is (435) 797-4200.

What is Lora Israelsen's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Lora Israelsen enrolled in Medicare?

No. Lora Israelsen has opted out of Medicare through December 5, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Lora Israelsen accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and Select Health list Lora Israelsen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lora Israelsen was last updated on August 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.