Active NPI
Jeff W Lucas, PH.D. MSW, LCPC,LMHC
- Professional Counselor
- Oakbrook Terrace, IL
National Provider Identifier
1053683565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- MH 11990
- Practice address
- 2 Mid America PLZ
Suite 800
Oakbrook Terrace, IL 60181-4451 - Phone
- (630) 916-9926
- Fax
- (630) 916-9925
- NPI assigned
- Jan 30, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | MH 11990 | FL | Primary |
| Rehabilitation Psychologist | 103TR0400X | 180000760 | IL |
Addresses
Primary practice location
2 Mid America PLZ
Suite 800
Oakbrook Terrace, IL 60181-4451
Mailing address
2 Mid America PLZ
Suite 800
Oakbrook Terrace, IL 60181-4451
Phone (630) 916-9926
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 85591931 | Other | FL | MEMBER AMERICAN PSYCHOLOGICAL ASSOCIATION |
| MH 119990 | Other | FL | LICENSED MENTAL HEALTH COUNSELOR |
| 180-000760 | Other | IL | LICENSED CLINICAL PROFESSIONAL COUNSELOR |
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 |
|---|---|---|---|
| MH 11990 | FL | MD | Professional Counselor |
| 180000760 | IL | MD | Rehabilitation Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378080000000",
"number": "1053683565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 MID AMERICA PLZ",
"address_2": "SUITE 800",
"city": "OAKBROOK TERRACE",
"state": "IL",
"postal_code": "601814451",
"telephone_number": "630-916-9926",
"fax_number": "630-916-9925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 MID AMERICA PLZ",
"address_2": "SUITE 800",
"city": "OAKBROOK TERRACE",
"state": "IL",
"postal_code": "601814451",
"telephone_number": "630-916-9926",
"fax_number": "630-916-9925"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCAS",
"first_name": "JEFF",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "PH.D. MSW, LCPC,LMHC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-01-30",
"last_updated": "2013-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "FL",
"license": "MH 11990",
"primary": true
},
{
"code": "103TR0400X",
"taxonomy_group": "",
"desc": "Psychologist, Rehabilitation",
"state": "IL",
"license": "180000760",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEMBER AMERICAN PSYCHOLOGICAL ASSOCIATION",
"identifier": "85591931",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED MENTAL HEALTH COUNSELOR",
"identifier": "MH 119990",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED CLINICAL PROFESSIONAL COUNSELOR",
"identifier": "180-000760",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oakbrook Terrace, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.