Organization Active NPI

Lucas Counseling Group LLC

  • Clinical Social Worker
  • Mooresville, IN
National Provider Identifier
1104407139
Registry record updated Apr 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
LUCAS COUNSELING GROUP LLC
Practice address
806 N Samuel Moore Pkwy
Mooresville, IN 46158-1467
Phone
(317) 607-3741
NPI assigned
Apr 20, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2021

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

Authorized official

Name
Charles Lucas, LCSWNPI 1750758736
Title
Psychotherapist/Owner
Phone
(317) 607-3741

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

806 N Samuel Moore Pkwy
Mooresville, IN 46158-1467

Mailing address

806 N Samuel Moore Pkwy
Mooresville, IN 46158-1467
Phone (317) 607-3741

National Provider Directory

National Provider Directory

Locations

806 N Samuel Moore Pkwy
Mooresville, IN 46158
Phone (317) 584-3178

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1618876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618876800000",
    "number": "1104407139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 N SAMUEL MOORE PKWY",
            "city": "MOORESVILLE",
            "state": "IN",
            "postal_code": "461581467",
            "telephone_number": "317-607-3741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 N SAMUEL MOORE PKWY",
            "city": "MOORESVILLE",
            "state": "IN",
            "postal_code": "461581467",
            "telephone_number": "317-607-3741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCAS COUNSELING GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-20",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A",
        "authorized_official_last_name": "LUCAS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST/OWNER",
        "authorized_official_telephone_number": "317-607-3741",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mooresville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2021; 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.