Individual provider Active NPI

Loretta A. Lukic, LMHC, LPC, CAP

  • Mental Health Counselor
  • Vero Beach, FL
National Provider Identifier
1134427131
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH9847 Issued in FL
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

Updated by the provider on Jul 1, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240716004666 MD Practitioner - Mental Health Counselor 1355886110
I20241014003953 DC Practitioner - Mental Health Counselor 1355886110 Reassigns benefits to 1 organization

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
Family Care AssociatesGroup PAC ID 8325283229, 11 clinicians

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

LicenseStateTypeSpecialty
0718000199VAMDAddiction (Substance Use Disorder) Counselor
MH9847FLMDMental Health Counselor
0701993981VAMDProfessional Counselor

Interoperability endpoints

  • Direct secure messaging: 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

Verify at the official NPI Registry.