Individual provider Active NPI

Lucil'E Elayne Lowe, BSW, CDCA

  • Addiction (Substance Use Disorder) Counselor
  • Lima, OH
National Provider Identifier
1184007411
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
CDCA.110895 Issued in OH
Practice address
1505 N Cole St
Lima, OH 45801-2432
Phone
(513) 834-7063
NPI assigned
Jul 6, 2015
Last updated
Oct 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Case Manager/Care Coordinator 171M00000X 1184007411 OH
Addiction (Substance Use Disorder) Counselor 101YA0400X CDCA.110895 OH Primary

Addresses

Primary practice location

1505 N Cole St
Lima, OH 45801-2432

Mailing address

311 E Market St FL 3
Lima, OH 45801-4535
Phone (419) 222-4474

Other practice location 1

809 W Vine St
Lima, OH 45804-1054
Phone (419) 222-4474

Other identifiers 1

IdentifierTypeStateIssuer
1184007411MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CDCA.110895OHMDAddiction (Substance Use Disorder) Counselor
1184007411OHMDCase Manager/Care Coordinator

Practice roles

OrganizationSpecialtyStatusNew patients
Lima-Urban Minority Alcoholism and Drug Abuse Outreach Program., Inc CurrentSince Mar 5, 2023 Accepting new patients
Lima-Urban Minority Alcoholism and Drug Abuse Outreach Program., Inc CurrentSince Mar 5, 2023 Accepting new patients

Locations

311 E Market St
Fl 3
Lima, OH 45801
Phone (419) 222-4474

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1436140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1184007411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 E MARKET ST FL 3",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458014535",
            "telephone_number": "419-222-4474",
            "fax_number": "419-222-7044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 N COLE ST",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458012432",
            "telephone_number": "513-834-7063"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "809 W Vine St",
            "address_purpose": "LOCATION",
            "city": "Lima",
            "state": "OH",
            "postal_code": "458041054",
            "country_code": "US",
            "telephone_number": "419-222-4474",
            "fax_number": "419-222-7044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOWE",
        "first_name": "LUCIL'E",
        "middle_name": "ELAYNE",
        "name_prefix": "Mrs.",
        "credential": "BSW, CDCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-06",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "OH",
            "license": "1184007411",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCA.110895",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1184007411",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lima, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; 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.