Individual provider Active NPI

Fernando Lujan

  • Mental Health Counselor
  • Pasco, WA
National Provider Identifier
1073025672
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
6412 Penrose Point Dr
Pasco, WA 99301-8037
Phone
(509) 203-5594
NPI assigned
Nov 4, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X WA Primary

Addresses

Primary practice location

6412 Penrose Point Dr
Pasco, WA 99301-8037

Mailing address

208 Cullum Ave
Richland, WA 99352-4534
Phone (509) 946-5918

Other practice location 1

811 W 5th St
Grandview, WA 98930-1227
Phone (509) 203-5594

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

NPI Registry JSON

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

{
    "created_epoch": "1509753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1073025672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 CULLUM AVE",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993524534",
            "telephone_number": "509-946-5918",
            "fax_number": "509-946-9827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6412 PENROSE POINT DR",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993018037",
            "telephone_number": "509-203-5594"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "811 W 5th St",
            "address_purpose": "LOCATION",
            "city": "Grandview",
            "state": "WA",
            "postal_code": "989301227",
            "country_code": "US",
            "telephone_number": "509-203-5594",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUJAN",
        "first_name": "FERNANDO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-11-04",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasco, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.