LORI LYNN MCGRUDER NCC, LMHC
NPI 1861039968
Counselor - Mental Health in Gainesville, FL

Active since December 08, 2019PECOS Enrolled
1607 NW 120TH WAY, GAINESVILLE, FL 32606(352) 316-5620 Get Directions Write a Review

NPPES record last updated: December 8, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Lori Lynn Mcgruder Ncc, Lmhc NPPES

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

LORI LYNN MCGRUDER NCC, LMHC (NPI 1861039968) is an individual mental health provider in Gainesville, Florida, licensed in Florida (MH8492) and active in the NPI registry since December 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861039968
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameLORI LYNN MCGRUDERCredential: NCC, LMHC
Location Address1607 NW 120TH WAYGainesville, FL 32606-5273
Mailing Address1607 Nw 120th WayGainesville, FL 32606-5273 · (352) 316-5620
Sole ProprietorYes
Enumeration DateDecember 8, 2019
NPI 1861039968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in FL · MH8492
1607 NW 120TH WAY, Gainesville, FL 32606

Other Identifiers 1

OtherMH8492FL · Department Of Health

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Lori Lynn Mcgruder Ncc, Lmhc 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 January 11, 2024 through January 11, 2026.

Opt-Out Effective DateJanuary 11, 2024
Opt-Out In Effect ThroughJanuary 11, 2026Opt-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.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1861039968, enumerated as an "individual" on December 08, 2019.

The provider is located at 1607 NW 120TH WAY GAINESVILLE, FL 32606 and the phone number is (352) 316-5620.

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.