Active NPI
Maudie Jean Lucas, LMHC
- Mental Health Counselor
- Lakebay, WA
National Provider Identifier
1053363648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LH00006545
- Practice address
- 8903 Key Peninsula Hwy N
Lakebay, WA 98349-9326 - Phone
- (253) 884-2234
- Fax
- (253) 761-7979
- NPI assigned
- May 16, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LH00006545 | WA | Primary |
Addresses
Primary practice location
8903 Key Peninsula Hwy N
Lakebay, WA 98349-9326
Mailing address
PO Box 695
Lakebay, WA 98349-0695
Phone (253) 761-5828
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| IP278032 | Other | WA | MAGELLAN |
| 5795647 | Other | WA | AETNA |
| 9274172 | Other | WA | PHCS (PRIV. HEALTHCARE SY |
| 2011747 | Other | WA | CIGNA |
| 275030 | Other | WA | VALUE OPTIONS |
| 8921178 | Other | WA | L&I CRIME VICTIMS |
| LU6778 | Other | WA | REGENCE BLUE SHIELD |
| 154996 | Other | WA | MHN (MANAGED HEALTH NTWK) |
| A0593 | Other | WA | PREMERA BLUE CROSS |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LH00006545 | WA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1053363648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 695",
"city": "LAKEBAY",
"state": "WA",
"postal_code": "983490695",
"telephone_number": "253-761-5828",
"fax_number": "253-761-7979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8903 KEY PENINSULA HWY N",
"city": "LAKEBAY",
"state": "WA",
"postal_code": "983499326",
"telephone_number": "253-884-2234",
"fax_number": "253-761-7979"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCAS",
"first_name": "MAUDIE",
"middle_name": "JEAN",
"name_prefix": "Ms.",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH00006545",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "IP278032",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5795647",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS (PRIV. HEALTHCARE SY",
"identifier": "9274172",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "2011747",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "275030",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I CRIME VICTIMS",
"identifier": "8921178",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUE SHIELD",
"identifier": "LU6778",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN (MANAGED HEALTH NTWK)",
"identifier": "154996",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREMERA BLUE CROSS",
"identifier": "A0593",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lakebay, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.