Carolyn Sue Lucas, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6301008781 Issued in MI

Practice address

3887 Okemos Rd
Suite A2
Okemos, MI 48864-3664

Phone

(517) 333-6700

Fax

(517) 347-3702

NPI assigned

Sep 28, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

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 1

Specialty

Clinical Psychologist

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

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.

• Shepherds Staff Counseling Services, PLLC

  • Psychologist
  • Okemos, MI
  • NPI 1720024672
  Medicare reassignment NPD Authorized official
• Sarah Deyoung LMSW LLC

  • Clinical Social Worker
  • Okemos, MI
  • NPI 1205548518
  NPD (past)

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380067200000",
    "number": "1013008374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3887 OKEMOS RD",
            "address_2": "SUITE A2",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488643664",
            "telephone_number": "517-333-6700",
            "fax_number": "517-347-3702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3887 OKEMOS RD",
            "address_2": "SUITE A2",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488643664",
            "telephone_number": "517-333-6700",
            "fax_number": "517-347-3702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCAS",
        "first_name": "CAROLYN",
        "middle_name": "SUE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2013-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301008781",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD PI",
            "identifier": "0C33276",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "044627",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chisanga Loongo
• Rebecca E Lopez, LMSW
• James Franklin Loree, LMSW
• Matthew Lorenz
• Christine Lynn Lovejoy, PMHNP
• Breanne Ludington, LMSW
• Courtney Lueders
• Corey Elizabeth Luna, LPC
• Luxottica Retail North America Inc
• Luxottica Retail North America Inc

• Psychologist in Okemos, MI
• Providers in Okemos, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.