Organization Active NPI

Luna Counseling Services, PLLC

  • Clinical Social Worker
  • Lufkin, TX
National Provider Identifier
1124486956
Registry record updated Feb 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
56714 Issued in TX
Legal business name
LUNA COUNSELING SERVICES, PLLC
Practice address
2582 Ted Trout Dr
Lufkin, TX 75904-8320
Phone
(936) 404-9564
NPI assigned
Feb 8, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2016

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

Authorized official

Name
Mr. Salvador Luna Jr.NPI 1851757611
Title
LCSW
Phone
(936) 404-9564

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 56714 TX Primary

Addresses

Primary practice location

2582 Ted Trout Dr
Lufkin, TX 75904-8320

Mailing address

915 McGregor Dr
Lufkin, TX 75904-4445
Phone (936) 404-9564

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160412001443 TX Part B Supplier - Clinic/Group Practice 2264730084 Receives reassigned benefits from 1 practitioner
Practice locations: Lufkin, TX

National Provider Directory

National Provider Directory

Locations

2582 Ted Trout Dr
Lufkin, TX 75904
Phone (936) 404-9564

617 S 1st St
Lufkin, TX 75901
Phone (936) 249-6160

Practitioners & affiliated clinicians

Practitioners 3

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": "1454889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454889600000",
    "number": "1124486956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 MCGREGOR DR",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759044445",
            "telephone_number": "936-404-9564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2582 TED TROUT DR",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759048320",
            "telephone_number": "936-404-9564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUNA COUNSELING SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-08",
        "last_updated": "2016-02-08",
        "status": "A",
        "authorized_official_last_name": "LUNA",
        "authorized_official_first_name": "SALVADOR",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "936-404-9564",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "56714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lufkin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.