Cynthia Lucas
Individual provider Active NPI Mental Health Counselor · Clarksville, TN
NPI 1003025313 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1003025313
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 585 S. Riverside Dr
G
Clarksville, TN 37040 - Phone
- (931) 503-0777
- NPI assigned
- May 22, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
585 S. Riverside Dr
G
Clarksville, TN 37040
Mailing address
3890 Mackenzie Dr
Clarksville, TN 37042-8643
Phone (931) 561-4285
NPI Registry JSON
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1003025313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3890 MACKENZIE DR",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370428643",
"telephone_number": "931-561-4285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "585 S. RIVERSIDE DR",
"address_2": "G",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "37040",
"telephone_number": "931-503-0777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCAS",
"first_name": "CYNTHIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clarksville, TN
- Debra Lynn Lowrance
- Katelyn Loxley
- LP Clarksville LLC
- George E Lu
- Christopher J Lucas
- Susan J Lukens
- Crystal Nicole Lulack
- Victoria Lynn Lundberg
- Abigale Lunsford
- Kathleen Healy Lunsford
All providers in Clarksville, TN · Mental Health Counselor in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.