Michelle Ilene Lujan, SUDCC
Individual provider Active NPI Counselor · King City, CA
NPI 1114654282 · NPPES record last updated Jan 8, 2026
Key facts
- NPI
- 1114654282
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- License
- 13791 (CA)
- Practice address
- 637 Broadway St
King City, CA 93930-3231 - Phone
- (831) 525-8181
- Fax
- (831) 525-8130
- NPI assigned
- Aug 8, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Door to Hope | Past |
Accepting new patients | |
| Door to Hope | Past |
Accepting new patients | |
| Sun Street Centers | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 13791 | CA | Yes |
Addresses
Primary practice location
637 Broadway St
King City, CA 93930-3231
Mailing address
637 Broadway St
King City, CA 93930-3231
Phone (831) 525-8181
Other providers in King City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 8, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.