Lukas Alexander Walden, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFT002020 Issued in GA

Practice address

1875 Fant Dr
Fort Oglethorpe, GA 30742-3300

Phone

(706) 806-3387

NPI assigned

Jan 6, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

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.

• Lookout Mountain Community Services

  • Community/Behavioral Health Agency
  • Lafayette, GA
  • NPI 1386716124
  NPD
• Lookout Mountain Community Services

  • Community/Behavioral Health Agency
  • Ft Oglethorpe, GA
  • NPI 1568599090
  NPD
• Lookout Mountain Community Services

  • Community/Behavioral Health Agency
  • Lafayette, GA
  • NPI 1790782431
  NPD

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

{
    "created_epoch": "1672963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723248000000",
    "number": "1023722873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 WEBB WHEELER RD",
            "city": "LA FAYETTE",
            "state": "GA",
            "postal_code": "307283099",
            "telephone_number": "706-996-3090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1875 FANT DR",
            "city": "FORT OGLETHORPE",
            "state": "GA",
            "postal_code": "307423300",
            "telephone_number": "706-806-3387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALDEN",
        "first_name": "LUKAS",
        "middle_name": "ALEXANDER",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-06",
        "last_updated": "2024-08-10",
        "certification_date": "2024-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "GA",
            "license": "MFT002020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James W Wahl, DO
• Mary Elizabeth Wakefield, PT,DPT
• Wal-Mart Stores East LP
• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP
• Walgreen Co
• Walgreen Co
• Craig W Walker, DMD
• Abby Wallace, LAPC
• April Wash, COTA

• All providers in Fort Oglethorpe, GA
• Marriage & Family Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.