Active NPI
Cyndi Lukk, LMFT
- Marriage & Family Therapist
- Oakland, CA
National Provider Identifier
1265915490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 104543
- Practice address
- 166 Santa Clara Ave Ste 206
Oakland, CA 94610-1323 - Phone
- (510) 219-3931
- NPI assigned
- Sep 13, 2018
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 104543 | CA | Primary |
Addresses
Primary practice location
166 Santa Clara Ave Ste 206
Oakland, CA 94610-1323
Mailing address
PO Box 30251
Walnut Creek, CA 94598-9251
Other practice location 1
166 Santa Clara Ave
Oakland, CA 94610-1323
Phone (510) 219-3931
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NA | Other | CA | NA |
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 |
|---|---|---|---|
| 104543 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Zenerosity | Current | Accepting new patients |
Locations
166 Santa Clara Ave
Ste 206
Oakland, CA 94610
Phone (510) 219-3931
Organizations & group practices 1
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.
-
- Mental Health Counselor
- Oakland, CA
- NPI 1124501259
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536796800000",
"number": "1265915490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 30251",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945989251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "166 SANTA CLARA AVE STE 206",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946101323",
"telephone_number": "510-219-3931"
}
],
"practiceLocations": [
{
"address_1": "166 Santa Clara Ave",
"address_purpose": "LOCATION",
"city": "Oakland",
"state": "CA",
"postal_code": "946101323",
"country_code": "US",
"telephone_number": "510-219-3931",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LUKK",
"first_name": "CYNDI",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-13",
"last_updated": "2018-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "104543",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NA",
"identifier": "NA",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.