Individual provider Active NPI

Luis Kashdaro Luna, LPC

  • Professional Counselor
  • Laredo, TX
National Provider Identifier
1003330309
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC.0016672 Issued in CO
Practice address
516 Finch
Laredo, TX 78045-4164
Phone
(720) 295-0507
NPI assigned
Jul 28, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC.0016672 CO Primary

Addresses

Primary practice location

516 Finch
Laredo, TX 78045-4164

Mailing address

516 Finch
Laredo, TX 78045-4164
Phone (720) 295-0507

Other practice location 1

1455 Dixon Ave Ste 300
Lafayette, CO 80026-8880
Phone (303) 443-8500

Other practice location 2

1166 Cherryvale Rd
Boulder, CO 80303-1302
Phone (720) 295-0507

Other practice location 3

1333 Iris Ave
Boulder, CO 80304-2226
Phone (303) 443-8500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240604003980 CO Practitioner - Mental Health Counselor 1355883463 Reassigns benefits to 2 organizations
I20250325002016 TX Practitioner - Mental Health Counselor 1355883463 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Luna Discipline LLC Professional CurrentSince Mar 13, 2025 Accepting new patients
Sondermind Provider Network LLC Professional CurrentSince May 25, 2024 Accepting new patients

Locations

720 S Colorado Blvd
Ph N
Glendale, CO 80246
Phone (833) 988-0589

2021 Guadalupe St
Ste 260
Austin, TX 78705
Phone (202) 932-9958

Networks

  • CO HMO
  • TX HMO
  • TX HMO D-SNP
  • CO HMO D-SNP
  • NM HMO C-SNP
  • devoted network organization-a4751131-f16f-4e82-8f2b-b08e66379a7a

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1501200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1003330309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 FINCH",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780454164",
            "telephone_number": "720-295-0507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 FINCH",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780454164",
            "telephone_number": "720-295-0507"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1455 Dixon Ave Ste 300",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "CO",
            "postal_code": "800268880",
            "country_code": "US",
            "telephone_number": "303-443-8500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1166 Cherryvale Rd",
            "address_purpose": "LOCATION",
            "city": "Boulder",
            "state": "CO",
            "postal_code": "803031302",
            "country_code": "US",
            "telephone_number": "720-295-0507",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1333 Iris Ave",
            "address_purpose": "LOCATION",
            "city": "Boulder",
            "state": "CO",
            "postal_code": "803042226",
            "country_code": "US",
            "telephone_number": "303-443-8500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUNA",
        "first_name": "LUIS",
        "middle_name": "KASHDARO",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-07-28",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0016672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laredo, TX

Sources for this page

Verify at the official NPI Registry.