Organization Active NPI

HLN Physicians Inc

  • Psychiatry Physician
  • Gold River, CA
National Provider Identifier
1073899191
Registry record updated Jun 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
HLN PHYSICIANS INC
Practice address
11249 Gold Country Blvd Ste 130
Gold River, CA 95670-3022
Phone
(916) 669-1200
Fax
(916) 669-1214
NPI assigned
Nov 3, 2011
Last updated
Jun 22, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2022

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

Authorized official

Name
Peter B. LucasNPI 1811052897
Title
Owner
Phone
(206) 713-8713

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Psychosomatic Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0015X
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary
Child & Adolescent Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0804X

Addresses

Primary practice location

11249 Gold Country Blvd Ste 130
Gold River, CA 95670-3022

Mailing address

11249 Gold Country Blvd Ste 130
Gold River, CA 95670-3022
Phone (916) 669-1200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, GA, TX, WA, NV, AZ6 enrollments

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
O20200213002188 CA Part B Supplier - Clinic/Group Practice 1052746559 Receives reassigned benefits from 8 practitioners
Practice locations: Gold River, CA
O20200917001096 GA Part B Supplier - Clinic/Group Practice 1052746559 Receives reassigned benefits from 1 practitioner
Practice locations: Atlanta, GA
O20201015000024 TX Part B Supplier - Clinic/Group Practice 1052746559 Receives reassigned benefits from 5 practitioners
Practice locations: Dallas, TX
O20201019000793 WA Part B Supplier - Clinic/Group Practice 1052746559 Receives reassigned benefits from 2 practitioners
Practice locations: Spokane, WA
O20201211002396 NV Part B Supplier - Clinic/Group Practice 1052746559 Receives reassigned benefits from 1 practitioner
Practice locations: Las Vegas, NV
O20210311002400 AZ Part B Supplier - Clinic/Group Practice 1052746559 Receives reassigned benefits from 1 practitioner
Practice locations: Tucson, AZ

National Provider Directory

National Provider Directory

Locations

11249 Gold Country Blvd
Ste 130
Gold River, CA 95670
Phone (888) 880-8443

155 Cadillac Dr
Sacramento, CA 95825

155 Cadillac Dr
Ste 110
Sacramento, CA 95825
Phone (888) 880-8443

104 W 5th Ave
Spokane, WA 99204
Phone (509) 992-1888

Practitioners & affiliated clinicians

Practitioners 29

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1320278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655856000000",
    "number": "1073899191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11249 GOLD COUNTRY BLVD STE 130",
            "city": "GOLD RIVER",
            "state": "CA",
            "postal_code": "956703022",
            "telephone_number": "916-669-1200",
            "fax_number": "916-669-1214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11249 GOLD COUNTRY BLVD STE 130",
            "city": "GOLD RIVER",
            "state": "CA",
            "postal_code": "956703022",
            "telephone_number": "916-669-1200",
            "fax_number": "916-669-1214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HLN PHYSICIANS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-03",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "status": "A",
        "authorized_official_last_name": "LUCAS",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-713-8713"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0015X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychosomatic Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gold River, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.