Active NPI
Wade Christian Lueck, PH.D.
- Counseling Psychologist
- Mesa, AZ
National Provider Identifier
1013065325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 3801
- Practice address
- 2500 S Power Rd Ste 112
Mesa, AZ 85209-6687 - Phone
- (480) 382-3008
- NPI assigned
- Jan 5, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 3801 | AZ | Primary |
Addresses
Primary practice location
2500 S Power Rd Ste 112
Mesa, AZ 85209-6687
Mailing address
2500 S Power Rd Ste 112
Mesa, AZ 85209-6687
Phone (480) 382-3008
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3801 | AZ | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572393600000",
"number": "1013065325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 S POWER RD STE 112",
"city": "MESA",
"state": "AZ",
"postal_code": "852096687",
"telephone_number": "480-382-3008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 S POWER RD STE 112",
"city": "MESA",
"state": "AZ",
"postal_code": "852096687",
"telephone_number": "480-382-3008"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUECK",
"first_name": "WADE",
"middle_name": "CHRISTIAN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-05",
"last_updated": "2019-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "AZ",
"license": "3801",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.