Active NPI
Loretta A. Lukic, LMHC, LPC, CAP
- Mental Health Counselor
- Vero Beach, FL
National Provider Identifier
1134427131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH9847
- Practice address
- 1717 20TH Ave
Suite #201
Vero Beach, FL 32960-3652 - Phone
- (772) 233-7343
- NPI assigned
- Mar 1, 2011
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0701993981 | VA | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 0718000199 | VA | |
| Mental Health Counselor | 101YM0800X | MH9847 | FL | Primary |
Addresses
Primary practice location
1717 20TH Ave
Suite #201
Vero Beach, FL 32960-3652
Mailing address
8360 SW Cattleya Dr
Stuart, FL 34997-4863
Phone (772) 233-7343
Other practice location 1
702 Russell Ave Ste 100
Gaithersburg, MD 20877-2605
Phone (301) 330-0006
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Marymount University, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
702 Russell Ave
Suite 100
Gaithersburg, MD 20877-2605
Phone (301) 330-0006
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0718000199 | VA | MD | Addiction (Substance Use Disorder) Counselor |
| MH9847 | FL | MD | Mental Health Counselor |
| 0701993981 | VA | MD | Professional Counselor |
Interoperability endpoints
- loretta.lukic.1@29745.direct.athenahealth.com
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1298937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719792000000",
"number": "1134427131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8360 SW CATTLEYA DR",
"city": "STUART",
"state": "FL",
"postal_code": "349974863",
"telephone_number": "772-233-7343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1717 20TH AVE",
"address_2": "SUITE #201",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329603652",
"telephone_number": "772-233-7343"
}
],
"practiceLocations": [
{
"address_1": "702 Russell Ave Ste 100",
"address_purpose": "LOCATION",
"city": "Gaithersburg",
"state": "MD",
"postal_code": "208772605",
"country_code": "US",
"telephone_number": "301-330-0006",
"fax_number": "301-330-0444",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LUKIC",
"first_name": "LORETTA",
"middle_name": "A.",
"credential": "LMHC, LPC, CAP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-03-01",
"last_updated": "2024-07-01",
"certification_date": "2024-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701993981",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "VA",
"license": "0718000199",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH9847",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vero Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; 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.