Active NPI
Sydney Gober Lucas, LPC-S
- Professional Counselor
- Murrysville, PA
National Provider Identifier
1083639959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC10567
- Practice address
- 3122 Carson Ave
Murrysville, PA 15668-1804 - Phone
- (412) 550-0222
- NPI assigned
- Jul 13, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 18621 | TX | |
| Professional Counselor | 101YP2500X | PC10567 | PA | Primary |
Addresses
Primary practice location
3122 Carson Ave
Murrysville, PA 15668-1804
Mailing address
6956 Berkshire Dr
Export, PA 15632-8946
Phone (832) 405-7711
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 |
|---|---|---|---|
| PC10567 | PA | MD | Professional Counselor |
| 18621 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578441600000",
"number": "1083639959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6956 BERKSHIRE DR",
"city": "EXPORT",
"state": "PA",
"postal_code": "156328946",
"telephone_number": "832-405-7711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3122 CARSON AVE",
"city": "MURRYSVILLE",
"state": "PA",
"postal_code": "156681804",
"telephone_number": "412-550-0222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCAS",
"first_name": "SYDNEY",
"middle_name": "GOBER",
"name_prefix": "Mrs.",
"credential": "LPC-S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-13",
"last_updated": "2020-01-08",
"certification_date": "2020-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "18621",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC10567",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Murrysville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.