Active NPI
Alejandra Lucatero, MSW
- Mental Health Counselor
- Honolulu, HI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 4841
- Practice address
- 1111 Lunalilo St # 235292
Honolulu, HI 96822-3956 - Phone
- (773) 888-3312
- NPI assigned
- Jun 22, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Mental Health Counselor | 101YM0800X | 4841 | HI | Primary |
| Mental Health Counselor | 101YM0800X | 89237 | CA | |
| Rehabilitation Practitioner | 225400000X | |||
| Rehabilitation Counselor | 225C00000X |
Addresses
Primary practice location
1111 Lunalilo St # 235292
Honolulu, HI 96822-3956
Mailing address
351 E Rossellen PL Apt 12
Covina, CA 91723-3544
Phone (626) 422-8409
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
402 W Broadway
Suite 400
San Diego, CA 92101-3554
PO Box
Suite 4494
Covina, CA 91723
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 89237 | CA | MD | Mental Health Counselor |
| 4841 | HI | MD | Mental Health Counselor |
| 110616 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cyti Health PC | Current | Accepting new patients | |
| Pacific Clinics | Past | Accepting new patients |
Locations
11801 Pierce St
Riverside, CA 92505
Phone (909) 528-0317
3111 Camino del Rio N
Ste 460
San Diego, CA 92108
402 W Broadway
Ste 400
San Diego, CA 92101
Phone (619) 810-1939
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- San Diego, CA
- NPI 1679172290
-
- Community/Behavioral Health Agency
- Ontario, CA
- NPI 1902273923
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659484800000",
"number": "1093200016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "351 E ROSSELLEN PL APT 12",
"city": "COVINA",
"state": "CA",
"postal_code": "917233544",
"telephone_number": "626-422-8409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 LUNALILO ST # 235292",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968223956",
"telephone_number": "773-888-3312"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCATERO",
"first_name": "ALEJANDRA",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-06-22",
"last_updated": "2022-08-03",
"certification_date": "2022-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "HI",
"license": "4841",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "89237",
"primary": false
},
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "225C00000X",
"taxonomy_group": "",
"desc": "Rehabilitation Counselor",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.