Individual provider Active NPI

Annoula Lukas

  • Student in an Organized Health Care Education/Training Program
  • Long Beach, NY
National Provider Identifier
1184293193
Registry record updated Jun 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
515 E Park Ave
Long Beach, NY 11561-3748
Phone
(516) 637-3392
NPI assigned
Jun 23, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

515 E Park Ave
Long Beach, NY 11561-3748

Mailing address

515 E Park Ave
Long Beach, NY 11561-3748
Phone (516) 637-3392

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240118001561 NY Practitioner - Mental Health Counselor 1153773858 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valera Medical PCGroup PAC ID 0547690521, 160 clinicians

Practice addresses (Care Compare)

134 N 4TH St
Brooklyn, NY 11249-3296
Phone (646) 450-7748

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
012726NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Valera Medical, P.C. CurrentSince Sep 1, 2024 Accepting new patients
Family Service League, Inc. CurrentSince Nov 27, 2023 Accepting new patients
365 Mental Health Counseling PLLC CurrentSince Apr 13, 2025 Accepting new patients

Locations

1448 5th Ave
Bay Shore, NY 11706
Phone (631) 309-6831

134 N 4th St
Brooklyn, NY 11249

333 W Commercial St
East Rochester, NY 14445
Phone (208) 421-0568

790 Park Ave
Huntington, NY 11743
Phone (631) 427-3700

139 Centre St
Ste 824
New York, NY 10013
Phone (646) 450-7751

Organizations & group practices 3

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": "1624406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624406400000",
    "number": "1184293193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 E PARK AVE",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115613748",
            "telephone_number": "516-637-3392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 E PARK AVE",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115613748",
            "telephone_number": "516-637-3392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUKAS",
        "first_name": "ANNOULA",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-23",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, NY

Sources for this page

Verify at the official NPI Registry.