Kaitlyn Lucas-Roberts, MS

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MG60755981 Issued in WA

Practice address

2702 Rockefeller Ave
Everett, WA 98201-3523

Phone

(425) 258-2955

NPI assigned

Jan 23, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kaitlyn Clark Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1516665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516665600000",
    "number": "1093213290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1006 RUCKER AVE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982011515",
            "telephone_number": "818-970-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2702 ROCKEFELLER AVE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982013523",
            "telephone_number": "425-258-2955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCAS-ROBERTS",
        "first_name": "KAITLYN",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-23",
        "last_updated": "2018-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "MG60755981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAITLYN",
            "last_name": "CLARK",
            "credential": "MS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Yi-Wen Lu
• Annette Lualemaga
• Mollie Luallen
• David Luba, MD
• Angela Christine Lubresky
• Alyssia Lucas
• Anthony Lucas Jr.
• Calperna Ceceilia Lucas, PMHNP-BC
• Alisha Lucero, RN
• Shane Lucey

• Marriage & Family Therapist in Everett, WA
• Providers in Everett, WA by specialty
• Marriage & Family Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.