Active NPI
Marla J. Lucero, M.A., LPC
- Professional Counselor
- Pueblo, CO
National Provider Identifier
1215104708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC3003
- Practice address
- 509 Colorado Ave
Suite B
Pueblo, CO 81004-2008 - Phone
- (719) 569-9369
- NPI assigned
- May 13, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC3003 | CO | Primary |
Addresses
Primary practice location
509 Colorado Ave
Suite B
Pueblo, CO 81004-2008
Mailing address
300 Colorado Ave
Pueblo, CO 81004-2006
Phone (719) 543-8711
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | CO |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC3003 | CO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462492800000",
"number": "1215104708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 COLORADO AVE",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810042006",
"telephone_number": "719-543-8711",
"fax_number": "719-543-0171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "509 COLORADO AVE",
"address_2": "SUITE B",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810042008",
"telephone_number": "719-569-9369"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCERO",
"first_name": "MARLA",
"middle_name": "J.",
"name_prefix": "Mrs.",
"credential": "M.A., LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-13",
"last_updated": "2016-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "LPC3003",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pueblo, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.