Active NPI
Timothy Francis Lucid V, MHC-LP
- Mental Health Counselor
- Fulton, NY
National Provider Identifier
1205666740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 18-P130220-01
- Practice address
- 522 S 4TH St Ste 200
Fulton, NY 13069-2941 - Phone
- (315) 598-7400
- NPI assigned
- Aug 7, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 18-P130220-01 | NY | Primary |
Addresses
Primary practice location
522 S 4TH St Ste 200
Fulton, NY 13069-2941
Mailing address
29 E Cayuga St
Oswego, NY 13126-1241
Phone (315) 326-4100
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
| License | State | Type | Specialty |
|---|---|---|---|
| 18-P130220-01 | NY | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oswego Hospital | Past | Accepting new patients | |
| Oswego Hospital | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Institutional Pharmacy
- Oswego, NY
- NPI 1780629907
-
- General Acute Care Hospital
- Oswego, NY
- NPI 1871678458
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722988800000",
"number": "1205666740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29 E CAYUGA ST",
"city": "OSWEGO",
"state": "NY",
"postal_code": "131261241",
"telephone_number": "315-326-4100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "522 S 4TH ST STE 200",
"city": "FULTON",
"state": "NY",
"postal_code": "130692941",
"telephone_number": "315-598-7400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCID",
"first_name": "TIMOTHY",
"middle_name": "FRANCIS",
"name_suffix": "V",
"credential": "MHC-LP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-08-07",
"last_updated": "2024-08-07",
"certification_date": "2024-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "18-P130220-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fulton, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.