Jordan Luck, LPC, NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701006350 Issued in VA

Practice address

372 McLaws Cir Ste 1&2
Williamsburg, VA 23185-5636

Phone

(540) 207-1108

NPI assigned

Oct 8, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Complete Therapeutic Solutions, LLC

  • Marriage & Family Therapist
  • Williamsburg, VA
  • NPI 1326672502
  NPD Authorized official

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

{
    "created_epoch": "1444262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479772800000",
    "number": "1245601863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5104 GREENWICH MEWS",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231888515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "372 MCLAWS CIR STE 1&2",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231855636",
            "telephone_number": "540-207-1108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCK",
        "first_name": "JORDAN",
        "credential": "LPC, NCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-10-08",
        "last_updated": "2016-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VA",
            "license": "0710103043",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701006350",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "VA",
            "license": "0717001413",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Loves Beauty Salon, LLC
• Kadijah D Lowry
• Gary Loyd, LPC, LSATP
• Michael Chavel Lucas
• Shawn Elizabeth Lucci, MSED, ATC
• Thomas G Luckam, DDS
• John Byrne Ludwig, LMT, CMT
• Alona Luecke
• Pamela Dawn Lundberg, O.D.
• Lung Specialist of Williamsburg PC

• Professional Counselor in Williamsburg, VA
• Providers in Williamsburg, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.

Verify at the official NPI Registry.